LAPAROSCOPIC CHOLECYSTECTOMY IN CIRRHOTIC PATIENTS

Objective: It was conducted to evaluate laparoscopic cholecystectomy in cirrhotics in terms of procedural safety and betteroutcome with decreased morbidity. Study Design: A retrospective, multicenteric study. Setting: Surgical Unit-III and IV DHQ Faisalabad.Period: Jan 2000 to Dec 2009. Methods: 2610 patients undergoing laparoscopic cholecystectomy from January 2000 to December 2009 forcholecystitis and symptomatic gallstone disease. 61 of the patients being cirrhotics falling in child’s class A&B. Evaluation of results was done byanalyzining the data in SPSS V-17. Results: of the 2610 patients who underwent laparoscopic cholecystectomy, 61(2.3%) were cirrhotic. Ofthese 61, 47(77%) belonged to Childs group A and 14(23%) were group B. Hepatitis C was the major cause of cirrhosis (72%). Morbidity incirrhotics was 11.4% in the form of ascities leakage (57%) and port site infection (43%). Mean hospital stay was 2±1 days and the meanoperative time as 60±20 minutes in cirrhotics. Conclusions: Laparoscopic cholecystectomy offers a better post op recovery and decreasedmorbidity in Childs group A & B cirrhotics as it does in non cirrhotic patients.