{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:28:19Z","timestamp":1761290899038},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,12,7]],"date-time":"2007-12-07T00:00:00Z","timestamp":1196985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In this study we retrospectively evaluated a group of symptomatic cirrhotic (<jats:italic>n<\/jats:italic> = 30) and non\u2010cirrhotic (<jats:italic>n<\/jats:italic> = 60) patients submitted to laparoscopic cholecystectomy (LC) in a public hospital in Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The groups were compared for surgical time, duration of hospitalization after surgery, period of permanence in the intensive care unit (ICU), use of blood derivatives, mortality rates, and transoperative and post\u2010surgery complications. Other parameters, such as hepatic reserve capacity and presence of ascites, were also analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010three (76.7%) of the patients of the cirrhosis group (CG) were classified as Child\u2010Pugh A, and seven (23.3%) were Child\u2010Pugh B. Six of them (20%) had ascites. Differences between the two groups included surgery time (<jats:italic>p<\/jats:italic> = 0.008), duration of hospitalization (<jats:italic>p<\/jats:italic> = 0.014), and post\u2010surgery (<jats:italic>p<\/jats:italic> = 0.000) or ambulatory (<jats:italic>p<\/jats:italic> = 0.008) complications. The worst results were observed among Child B patients and in those with ascites. Blood derivatives were used in only 3.3% of the CG patients. No cases of conversion to laparotomy were observed among the two groups of patients included in this study, nor were there any deaths.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results indicate that videolaparoscopic cholecystectomy may be safely performed in public hospitals in Brazil, with low levels of complications, no associated mortality, and no need for blood derivatives.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9314-x","type":"journal-article","created":{"date-parts":[[2007,12,6]],"date-time":"2007-12-06T16:44:59Z","timestamp":1196959499000},"page":"267-270","source":"Crossref","is-referenced-by-count":14,"title":["Laparoscopic Cholecystectomy in Cirrhotic Patients with Symptomatic Cholelithiasis: A Case\u2010control Study"],"prefix":"10.1002","volume":"32","author":[{"given":"Jorge Marcelo Padilla","family":"Mancero","sequence":"first","affiliation":[{"name":"Department of General and Transplantation Surgery Hospital Benefic\u00eancia Portuguesa S\u00e3o Paulo SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Augusto Carneiro","family":"D\u2019Albuquerque","sequence":"additional","affiliation":[{"name":"Department of General and Transplantation Surgery Hospital Benefic\u00eancia Portuguesa S\u00e3o Paulo SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriano Miziara","family":"Gonzalez","sequence":"additional","affiliation":[{"name":"Alameda Casa Branca 471 bairro Jardim Paulista 01408\u2010001 S\u00e3o Paulo SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frans Ivan Serpa","family":"Larrea","sequence":"additional","affiliation":[{"name":"Department of General and Transplantation Surgery Hospital Benefic\u00eancia Portuguesa S\u00e3o Paulo SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adavio","family":"de Oliveira e Silva","sequence":"additional","affiliation":[{"name":"Department of General and Transplantation Surgery Hospital Benefic\u00eancia Portuguesa S\u00e3o Paulo SP Brazil"},{"name":"Department of Gastroenterology and Hepatology Hospital Benefic\u00eancia Portuguesa S\u00e3o Paulo SP Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,12,7]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(05)80929\u20108"},{"key":"e_1_2_5_3_2","first-page":"180","article-title":"Laparoscopic cholecystectomy in cirrhotic patients: expanding indications.","volume":"3","author":"Yerdel MA","year":"1993","journal-title":"Surg Laparosc Endosc"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(05)80954\u20107"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00187160"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(98)00210\u20105"},{"key":"e_1_2_5_7_2","first-page":"272","article-title":"Laparoscopic cholecystectomy in cirrhotic patients.","volume":"5","author":"D\u2019Albuquerque LAC","year":"1995","journal-title":"Surg Laparosc Endosc"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20101746.2006.04227.x"},{"key":"e_1_2_5_9_2","first-page":"837","article-title":"Morbidity after v\u00eddeo\u2010laparoscopic cholecystectomy in cholelithiasis associated with liver cirrhosis.","volume":"68","author":"Pezzolla F","year":"1997","journal-title":"A case\u2010control study. 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