title: [Open cholecystectomy in cirrhotic patients. Experience at the Salvador Zubirán National Institute of Nutrition].
abstract: BACKGROUND
  
  
  
  OBJECTIVE
  To inform the morbidity and mortality observed in cirrhotic patients who underwent open cholecystectomy.
  
  
  METHODS
  We reviewed the clinical records of 31 cirrhotics that underwent open cholecystectomy and they were compared with a control group of the same age and sex.
  
  
  RESULTS
  Despite administration of plasma or vitamin K or both, bleeding and transfusions during surgery were observed more frequently in cirrhotics. The morbidity was 13% in the controls and 42% in the cases. Renal failure, cardiac failure and upper gastrointestinal bleeding were present only in the cirrhotics. Mortality was 16% in this group (one Child A patient and four Child B-C patients). The variable related with major morbimortality was Child B or C classification.
  
  
  CONCLUSIONS
  Open cholecystectomy was associated with high morbimortality. The valoration and preparation before surgery must be careful, and the indication from this procedure needs to be made with caution.
authors.affiliation: División de Medicina Interna, Instituto Nacional de la Nutrición Salvador Zubirán, México, D.F.
authors.forename: R
authors.initials: R
authors.lastname: Carmona
authors.forename: J
authors.initials: J
authors.lastname: Suazo
authors.forename: M A
authors.initials: MA
authors.lastname: Mercado
authors.forename: H
authors.initials: H
authors.lastname: Orozco
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002763:Cholecystectomy / Q000009:adverse effects*; D002769:Cholelithiasis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012307:Risk Factors
vernacular_title: Colecistectomía abierta en pacientes cirróticos. Experiencia en el INNSZ.