[Laparoscopic cholecystectomy in transplant patients].
OBJECTIVE
This study reviews our experience with laparoscopic cholecystectomy in the treatment of cholelithiasis in transplant patients.


METHODS
Demographic data, medications used, and operative and postoperative data of all transplant recipients who were subjected to laparoscopic cholecystectomy for cholelithiasis at our hospital were obtained.


RESULTS
A total of 15 transplant patients (13 renal transplantation and 2 bone marrow transplantation) underwent laparoscopic cholecystectomy. All patients were admitted to the hospital on the day of the operation. The immunosuppressive regimen was not modified during hospitalization. Clinical presentation of cholelithiasis was biliary colicky (n=12), acute cholecystitis (n=2), and jaundice (n=1). The operation was uneventful in all patients. Postoperative complications were nausea and vomiting in 2 patients, prolonged tracheal intubation in 1, wound infection in 1 and large superficial hematoma in 1 patient.


CONCLUSIONS
Laparoscopic cholecystectomy is associated to a low morbidity and mortality and good postoperative outcome in transplant patients with uncomplicated cholecystitis.
Coelho
Júlio Cezar Uili
JC
Serviço de Cirurgia do Aparelho Digestivo e Transplante Hepático, Hospital de Clínicas, da Universidade Federal do Paraná, Paraná, BR. coelhojcu@yahoo.com.br
Contieri
Fabiana L C
FL
de Freitas
Alexandre Coutinho Teixeira
AC
da Silva
Fernanda Cristina
FC
Kozak
Vanessa Nascimento
VN
da Silva Junior
Alzemir Santos
AS
D000328:Adult; D016026:Bone Marrow Transplantation; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies