Cholecystectomy in Patients with Liver Cirrhosis

Autor: Jonas Strömberg, Folke Hammarqvist, Omid Sadr-Azodi, Gabriel Sandblom
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Gastroenterology Research and Practice, Vol 2015 (2015)
Druh dokumentu: article
ISSN: 1687-6121
1687-630X
DOI: 10.1155/2015/783823
Popis: Background. The aim of this population-based study was to describe characteristics of patients with liver cirrhosis undergoing cholecystectomy and evaluate the risk for perioperative and postoperative complications during the 30-day postoperative period. Method. All laparoscopic and open cholecystectomy procedures registered between 2006 and 2011 in the Swedish Registry for Gallstone Surgery and ERCP (GallRiks) were included. Patients with liver cirrhosis were identified by linking data to the Swedish National Patient Registry (NPR). Results. Of 62,488 patients undergoing cholecystectomy, 77 (0.12%) had cirrhosis, of which 29 patients (37.7%) had decompensated cirrhosis. Patients with cirrhosis were older and had more often gallstone complications at the time for surgery. Postoperative complications were registered in 13 (16.9%) patients with liver cirrhosis and in 5,738 (9.2%) patients in the noncirrhotic group (P1 day (OR = 2.3, CI 1.11–4.84, P
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