{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T07:27:39Z","timestamp":1761290859494},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Gastroenterol."],"published-print":{"date-parts":[[2002,10]]},"abstract":"<jats:p>RACIONAL: Inicialmente considerada contra-indica\u00e7\u00e3o \u00e0 laparoscopia cir\u00fargica, a cirrose hep\u00e1tica tem sido achado ocasional observado durante este procedimento. Pequenas s\u00e9ries de colecistectomia em pacientes com cirrose sugerem que a maioria dos cirurgi\u00f5es ainda considera esta como contra-indica\u00e7\u00e3o \u00e0 colecistectomia videolaparosc\u00f3pica. OBJETIVO: Avaliar a experi\u00eancia do Servi\u00e7o de Gastroenterologia Cl\u00ednica e Cir\u00fargica do Complexo Hospitalar da Santa Casa de Porto Alegre, Porto Alegre, RS, no tratamento da colelit\u00edase por videolaparoscopia em pacientes cirr\u00f3ticos. PACIENTES E M\u00c9TODOS: Seiscentos e quatro pacientes com colelit\u00edase sintom\u00e1tica foram operados no Servi\u00e7o no per\u00edodo de maio de 1993 a maio de 2000. Destes, 10 (1,6%) apresentavam cirrose hep\u00e1tica. A idade dos pacientes variou entre 22 a 69 anos (m\u00e9dia de 50,4 \u00b1 18,1). Oito pacientes (80%) eram do sexo feminino. O \u00e1lcool foi o fator etiol\u00f3gico da hepatopatia em quatro, o v\u00edrus da hepatite C, o v\u00edrus da hepatite B, a cirrose biliar prim\u00e1ria e a defici\u00eancia de a-1 antitripsina em um paciente cada. Em dois pacientes o agente causal n\u00e3o foi identificado. RESULTADOS: A colecistectomia foi realizada em todos os pacientes e em sete tamb\u00e9m biopsia hep\u00e1tica diagn\u00f3stica. Em dois (20%) a cirurgia foi convertida. O resultado da colangiografia transoperat\u00f3ria foi normal em todos os casos. Em sete pacientes o p\u00f3s-operat\u00f3rio foi sem intercorr\u00eancias. Em dois (20%) observou-se o desenvolvimento de ascite, controlada clinicamente. Ambos eram Child A no momento da cirurgia. O outro paciente, Child C, apresentou piora da fun\u00e7\u00e3o hep\u00e1tica e faleceu. CONCLUS\u00d5ES: Mesmo que experi\u00eancia maior ainda deva ser adquirida, parece que a via laparosc\u00f3pica \u00e9 abordagem segura naqueles pacientes cirr\u00f3ticos compensados com colelit\u00edase sintom\u00e1tica em que a colecistectomia esteja indicada. Nos indiv\u00edduos descompensados acredita-se que todos os esfor\u00e7os devam ser dirigidos \u00e0 melhora da fun\u00e7\u00e3o hep\u00e1tica ou a procedimentos menos invasivos, tais como colecistostomia.<\/jats:p>","DOI":"10.1590\/s0004-28032002000400002","type":"journal-article","created":{"date-parts":[[2005,4,15]],"date-time":"2005-04-15T14:19:59Z","timestamp":1113574799000},"page":"212-216","source":"Crossref","is-referenced-by-count":2,"title":["Colecistectomia laparosc\u00f3pica em cirr\u00f3ticos"],"prefix":"10.1590","volume":"39","author":[{"given":"Paulo Roberto Ott","family":"Fontes","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Faculdade Federal de Ci\u00eancias M\u00e9dicas de Porto Alegre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c2ngelo Alves de","family":"Mattos","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Faculdade Federal de Ci\u00eancias M\u00e9dicas de Porto Alegre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rene Jacobsen","family":"Eilers","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Faculdade Federal de Ci\u00eancias M\u00e9dicas de Porto Alegre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Nectoux","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Faculdade Federal de Ci\u00eancias M\u00e9dicas de Porto Alegre"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Olavo Pitta","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Faculdade Federal de Ci\u00eancias M\u00e9dicas de Porto Alegre"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/0002-9610(82)90129-5","article-title":"Cholecystectomy in cirrhotic patients: a formidable operation","volume":"143","author":"Aranha 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