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Laparoscopic cholecystectomy in a cirrhotic patient

D Mutter, MD, PhD, FACS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2013;13(02). URL: http://websurg.com/doi/vd01en3865

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  • 2013-02-14
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Laparoscopic cholecystectomy in cirrhotic patients may be associated with several difficulties. These include a more difficult mobilization of the rigid fibrotic liver as well as the increased risk of bleeding due to associated portal hypertension. This video shows that the mere respect of basic rules for the performance of a cholecystectomy allows to safely manage associated problems. Child A cirrhosis is not a contraindication for the laparoscopic approach to the gallbladder.