| dc.creator | Poniachik T,Jaime | |
| dc.creator | Castro A,Silvia | |
| dc.creator | Madrid S,Ana María | |
| dc.creator | Quera P,Rodrigo | |
| dc.creator | Amat V,José | |
| dc.creator | Smok S,Gladys | |
| dc.creator | Cumsille G,Miguel | |
| dc.creator | Brahm B,Javier | |
| dc.date | 2002-12-01 | |
| dc.date.accessioned | 2019-11-14T12:54:44Z | |
| dc.date.available | 2019-11-14T12:54:44Z | |
| dc.identifier | https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0034-98872002001200003 | |
| dc.identifier.uri | https://revistaschilenas.uchile.cl/handle/2250/116745 | |
| dc.description | Background: The prevalence of gallstones is increased in patients with cirrhosis. However the presence of cirrhosis has been generally considered a relative contraindication to cholecystectomy. Aim: To investigate the complications and the outcomes of laparoscopic and open cholecystectomy in patients with cirrhosis. Patients and Methods: Sixty seven patients with gallstones with well-documented cirrhosis undergoing cholecystectomy (laparoscopic cholecystectomy (LC) in 35 and open cholecystectomy (OC) in 32), were studied. The mean age was 57.7 + 10.3 years for LC and 58.9 + 11.6 years for OC. In the LC group, 26 were classified as Child-Pugh class A, 8 as Child s B class and 1 as Child s class C. In the OC group, 12 were classified as Child s class A, 15 as Child s B and 5 as Child s C. Results: Complications occurred in 4 of 35 (12.3%) LC patients (1 patients was Child A and 3 were B). In the OC group 14 of 32 patients had complications (4 Child A, 7 B and 3 C, 43.7% p <0.05 as compared with LC group). Three patients in the OC group died (9.4%). Mean hospital stay was 2.8 + 1.9 and 13 + 12 days in LC and OC patients, respectively (p <0.05). Conclusions: LC has a lower rate of complications than OC and is a reasonable option for Child s class A and B patients with cirrhosis and gallstones (Rev Méd Chile 2002; 130: 1343-8) | |
| dc.format | text/html | |
| dc.language | es | |
| dc.publisher | Sociedad Médica de Santiago | |
| dc.relation | 10.4067/S0034-98872002001200003 | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.source | Revista médica de Chile v.130 n.12 2002 | |
| dc.subject | Cholecystectomy | |
| dc.subject | Cholelitiasis | |
| dc.subject | Liver Cirrhosis | |
| dc.subject | Surgical procedures | |
| dc.subject | laparoscopic | |
| dc.title | Colecistectomía laparoscópica y clásica en pacientes con cirrosis hepática | |
