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Corresponding Author

Elahwal, ElSaied

Document Type

Original Article

Abstract

Background: Gallstones are twice as common in cirrhotic patients as in the normal population. When gallbladder stones are symptomatic in cirrhotic people , they are linked to higher rates of morbidity and death than in non-cirrhotic people Objective: To compare open cholecystectomy versus laparoscopic cholecystectomy in cirrhotic patients Patients and Methods: This study has been conducted from March 2021 to October 2021 at Al-Azhar University Hospitals Department of General Surgery in Cairo, Egypt. It included 50 hepatic patients with symptomatic gall bladder stones that were randomized blindly into two equal groups . One was subjected to open cholecystectomy (OC) as a control group , while the other group was subjected to laparoscopic cholecystectomy (LC) Results: Four patients (16%) in the LC group have been converted to open cholecystectomy. In the LC (Group A) , the average surgery time was significantly reduced. The average ±SD (in mins) of OC (Group B) and LC (Group A) were 96.6 ± 32 and 58.7 ± 23.8, respectively (p < 0.05), with OC having significantly more intraoperative haemorrhage (p < 0.05). Group B had a significantly longer hospital stay (days) than group A, with an average hospital stay of 2.7±1.9 days compared to an average hospital stay of 2 ±1.32 days for group A, with little post-surgical morbidity and no surgical death Conclusion: Laparoscopic Cholecystectomy is safe and effective operative therapy for cirrhotic patients with Child class A and early B experiencing gallstone diseases, since it has reduced morbidity, lower surgical time, and shorter hospital stays than open cholecystectomy

Keywords

laparoscopic cholecystectomy (LC); Open cholecystectomy (OC); Cirrhosis

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