Hepatic Cirrhosis and Biliary Stones

  • Patrick Pessaux
  • Emilie Lermite


Different studies have suggested that the prevalence of gallstones is increased in patients with cirrhosis [1, 2, 3]. In the past, open cholecystectomy (OC) in cirrhotic patients was commonly accompanied by significant morbidity and mortality [4, 5]. Laparoscopic cholecystectomy (LC) has become the procedure of choice to treat symptomatic cholelithiasis in the general population. However, cirrhosis has been considered as a contraindication for LC due to the risk of bleeding and liver failure [6]. Currently, with the advances in laparoscopic technology, a range of increasingly complex procedures are performed, making traditional contraindications at best relative. Several studies have reported good results and suggested liberal use of LC in patients with early-stage cirrhosis and symptomatic cholelithiasis.


Laparoscopic Cholecystectomy Portal Hypertension Cirrhotic Patient Acute Cholecystitis Open Cholecystectomy 
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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Patrick Pessaux
    • 1
  • Emilie Lermite
    • 2
  1. 1.Department of Hepatic Surgery and TransplantationHospital of HautepierreStrasbourgFrance
  2. 2.Department of Digestive SurgeryCHU AngersAngersFrance

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