[Cholecystectomy in liver cirrhosis with portal hypertension--limited surgical indications and increased surgical risk?].
From January 1, 1982 to November 15, 1985 in 29 patients with liver cirrhosis a cholecystectomy was performed, 40% of them had portal hypertension. In-hospital mortality was 7%; main cause of death was acute and chronic liver failure. Postoperatively few liver function tests were reduced temporarily, but there was a normalization within two weeks. Cholecystectomy should not be left to be done as an emergency operation because of its high mortality rate in contrast to elective operation (50 in comparison to 5-10%).
D000328:Adult; D000368:Aged; D002763:Cholecystectomy; D002764:Cholecystitis / Q000601:surgery; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D005705:Gallbladder Diseases / Q000601:surgery*; D006501:Hepatic Encephalopathy / Q000401:mortality; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications*; D008103:Liver Cirrhosis / Q000150:complications*; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D012306:Risk; D013530:Surgical Wound Infection / Q000401:mortality
Cholecystektomie bei Lebercirrhose mit portaler Hypertension--eingeschränkte Operationsindikation und erhöhtes Operationsrisiko?