{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:28:13Z","timestamp":1761290893213},"reference-count":0,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2052,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"},{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":2052,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diagnostic and Therapeutic Endoscopy"],"published-print":{"date-parts":[[1995,1]]},"abstract":"<jats:p>We performed laparoscopic cholecystectomy for symptomatic cholelithiasis on four patients with\ncirrhosis of the liver, two of whom had clinical portal hypertension and splenomegaly. Preoperative\nexamination disclosed hypersplenism in one patient, while mild thrombocytopenia and decreased\nprothrombin concentration were noted in three patients. However, no remarkable bleeding tendency\nwas recognized clinically in any of the patients. Preoperatively, by Child\u2010Pugh\u2032s criteria, three patients\nhad class B disease and one class A disease. Intraoperatively, remarkable inflammatory change\nor fibrotic change of the gallbladder wall and Calot\u2032s triangle was observed in two cases, and collateral\nveins and lymphangial congestion were observed in all four cases. In the first case, extreme\nbleeding and lymphorrhea from dissected sites were observed, and a 1.5 unit of transfusion of whole\nblood was required during operation. Postoperatively, increase in ascites which was controlled with\ndiuretics was recognized in one case. However, the postoperative course was uneventful in all cases,\nand no serious complications were recognized.<\/jats:p><jats:p>That laparoscopic cholecystectomy can be safely performed in patients with cirrhosis if careful\nand appropriate management of bleeding and lymphorrhea from sites of dissection is ensured, is encouraging.<\/jats:p>","DOI":"10.1155\/dte.1.147","type":"journal-article","created":{"date-parts":[[2007,8,30]],"date-time":"2007-08-30T12:42:21Z","timestamp":1188477741000},"page":"147-152","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Laparoscopic Cholecystectomy for Cholelithiasis in PatientsWith Liver Cirrhosis"],"prefix":"10.1155","volume":"1","author":[{"given":"Tetsuro","family":"Ishikawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michio","family":"Sowa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayoshi","family":"Nagayama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukio","family":"Nishiguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1994,5,20]]},"container-title":["Diagnostic and Therapeutic Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1995\/657019.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/DTE.1.147","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T19:53:42Z","timestamp":1723146822000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/DTE.1.147"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,5,20]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1995,1]]}},"alternative-id":["10.1155\/DTE.1.147"],"URL":"https:\/\/doi.org\/10.1155\/dte.1.147","archive":["Portico"],"relation":{},"ISSN":["1070-3608","1029-0516"],"issn-type":[{"type":"print","value":"1070-3608"},{"type":"electronic","value":"1029-0516"}],"subject":[],"published":{"date-parts":[[1994,5,20]]},"assertion":[{"value":"2000-01-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}