Primary laparoscopic cholecystectomy in patients with portal cavernoma and non-obstructive portal biliopathy: Two case reports

Autor:	Parveen Bhatia, Suviraj John, Sudhir Kalhan, Mukund Khetan
Jazyk:	angličtina
Rok vydání:	2014
Předmět:	Extra hepatic portal vein obstruction gall bladder varices laparoscopic cholecystectomy portal cavernoma portal biliopathy Surgery RD1-811 Diseases of the digestive system. Gastroenterology RC799-869
Zdroj:	Journal of Minimal Access Surgery, Vol 10, Iss 3, Pp 161-162 (2014)
Druh dokumentu:	article
ISSN:	0972-9941 1998-3921
DOI:	10.4103/0972-9941.134885
Popis:	A laparoscopic cholecystectomy can be technically challenging with co-existing portal hypertension, as commonly seen with cirrhosis of the liver. Extra hepatic portal vein obstruction (EHPVO) although less common, is a significant cause of portal hypertension in India. EHPVO has a unique clinical profile, which differentiates it from portal hypertension associated with cirrhosis of the liver. This impacts therapy in EHPVO algorithmically and operatively. We report two cases of symptomatic gall stones with portal cavernoma. Further evaluation revealed non-obstructive portal biliopathy. Both underwent a successful laparoscopic cholecystectomy. We highlight the importance of careful operative strategy, diligent haemostasis and the feasibility of performing a laparoscopic cholecystectomy in patients with symptomatic gall stones associated with a portal cavernoma.
Databáze:	Directory of Open Access Journals
Externí odkaz:	https://doaj.org/article/3ae9424bd2d049d59daa6971f9db661f Zobrazit plný text záznamu View record in DOAJ Plný text ve formátu PDF