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KMID : 0978820020050010001
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2002 Volume.5 No. 1 p.1 ~ p.6
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Laparoscopic Cholecystectomy in Cirrhotic Patients
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서거정/Geo Jeong Seo
김경종/장정환/김권천/민영돈/김성환/Kyung Jong Kim/Jong Hwan Jang/Gwon Cheon Kim/Young Dong Min/Seong Hwan Kim
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Abstract
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Purpose: Laparoscopic cholecystectomy has become the procedure of choice for symptomatic cholelithiasis. A study to evaluate the benefits and risks of laparoscopic cholecystectomy in cirrhotic patients was performed.
Method: A retrospective study of laparoscopic cholecystectomy in cirrhotic versus non-cirrhotic patients was performed. Between January 1999 and December 2001, 213 laparoscpic cholecystectomies for gallbladder disease were performed. There
were
25 patients in the cirrhotic(group A) and and 188 patients in the non-cirrhotic(group B).
Results: There was no operative mortality in either group and postoperative complication rates were 8% and 6.4% in group A and B, respetively(P<0.05). Operation time in group A was 101.4±25.76 min vs group B 89.36±24.47 min (P<0.05). The
estimated intraoperative blood loss in group A was larger than in group B(104.0±109.84 ㎖ vs 51.8±79.61㎖, p<0.01). The hospital stay in group A and B were 5.6±1.70 days, 5.14±1.31 days, respectively(p>0.05). The incidence of conversion,
readmission
rates and re-operation rates indicated no difference between cirrhotic and noncirrhotic groups.
Conclusions: Laparoscopic cholecystectomy in patients with compensated cirrhosis is safe and should be the treatment of choice for these patients.
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KEYWORD
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