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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Laparoscopic versus open cholecystectomy in cirrhotic patients: A prospective randomized study
International Journal of Surgery, Volume 7, No. 1, Year 2009
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Description
Background: Improved laproscopic experience and techniques have made laparoscopic cholecystectomy (LC) feasible options in cirrhotic patients. This study was designed to compare the risk and benefits of open cholecystectomy (OC) versus LC in compensated cirrhosis. Method: A randomized prospective study, in the period from October 2002 till December 2006, where 110 cirrhotic patients with symptomatic gallstone were randomly divided into OC group (55 patients) and LC group (55 patients). Results: There was no operative mortality. In LC group 4 (7.33%) patients were converted to OC. Mean surgical time was significantly longer in OC group than LC group (96.13 + 17.35 min versus 76.13 + 15.12) P < 0.05, associated with significantly higher intraoperative bleeding in OC group (P < 0.01), necessitating blood transfusions to 7 (12.72%) patients in OC group. The time to resume diet was 18.36 + 8.18 h in LC group which is significantly earlier than in OC group 47.84 + 14.6 h P < 0.005. Hospital stay was significantly longer in OC group than LC group (6 + 1.74 days versus 1.87 + 1.11 days) P < 0.01 with low postoperative morbidity. Conclusion: LC in cirrhotics is still complicated and highly difficult which associates with significant morbidity compared with that of patients without cirrhosis. However, it offers lower morbidity, shorter operative time; early resume dieting with less need for blood transfusion and reducing hospital stay than OC. © 2008 Surgical Associates Ltd.
Authors & Co-Authors
El-Awadi, Saleh
Egypt, Mansoura
Faculty of Medicine
El Nakeeb, Ayman M.
Egypt, Mansoura
Faculty of Medicine
Youssef, Tamer Fady
Egypt, Mansoura
Faculty of Medicine
Fikry, Amir
Egypt, Mansoura
Faculty of Medicine
Abd El-Hamed, Tito M.
Egypt, Mansoura
Faculty of Medicine
Elbanna, Hosam Ghazy
Egypt, Mansoura
Faculty of Medicine
Foda, Elyamany
Egypt, Mansoura
Faculty of Medicine
Farid, Mohamed E.
Egypt, Mansoura
Faculty of Medicine
Statistics
Citations: 62
Authors: 8
Affiliations: 1
Identifiers
Doi:
10.1016/j.ijsu.2008.10.013
ISSN:
17439191
Research Areas
Health System And Policy
Study Design
Cohort Study