Utilization of Laparoscopic Surgery in Cirrhosis of the Liver

Main Article Content

GC Obonna
MC Obonna
RK Mishra

Abstract

Surgery in patients with cirrhosis of the liver is dangerous and risky due to abnormalities in their physiology. However these patients do present with conditions that may require surgical intervention. Laparoscopic surgery is safer for these patients as it mitigates the dangers and complications associated with open surgery, offers shorter operation time and subserves a diagnostic value in its safe use to determine and confirm the pathology of the liver.  The aim of this study is to determine if laparoscopic surgery is dangerous or safe for patients with cirrhosis of the liver. A literature review was  done using search engines viz Hinari, goggle, high wire press and overview of our experiences in patients in university of medical science teaching hospital Ondo. References to our experiences during our subspecialty training at world laparoscopy hospital New-Delhi were also beneficial in the course of this study. The results show that the technique of laparoscopy in all index cases is more favourable than open surgery in cirrhotic patients. We conclude that cirrhosis of the liver does not contraindicate the procedure of laparoscopy.

Metrics

Metrics Loading ...

Article Details

How to Cite
1.
Obonna G, Obonna M, Mishra R. Utilization of Laparoscopic Surgery in Cirrhosis of the Liver. Wes J Med Biomed Sci [Internet]. 2020 Jun. 15 [cited 2024 May 9];1(1):19-24. Available from: https://wjmbs.com.ng/index.php/wjmbs/article/view/1
Section
Review Article

References

Lessin MS, Luks FI. Primary laparoscopic placement of peritoneal dialysis catheter in children and young adults. Surg Endosc1999;13:1165-67.

Gines P, Cardenas A, Arroyo V, Rodes J. Management of cirrhosis and ascites. N Engl J Med 2004; 350: 1646-54.

Child CG, Turcotte JF. The liver and portal hypertension. Philadelphia:WB Saunders1964.

McDermott WV Jr. The double porta caval shunt in the treatment of chronic ascites. Surg Gynaecol Obstet 1960;110: 457-69.

Gelman S, Dillard E, Bradley EL. Hepatic circulation during surgical stress and anesthesia with halothane, is of lurane, or fentanyl. Anesth Analg 1987;66:936-43.

Garrison RN, Cryer HM, Howard D A, Polk H C Jr. Clarification of the risk factors for abdominal operations in patients with hepatic cirrhosis. Ann Surg1984;199:648-55.

Curro G, Baccarani U, Adani G, Cucinotta E. Laparoscopic cholecystectomy in patients with mild cirrhosis and symptomatic cholelithiasis. Transplant Proc2007;39:1471-73.

Tsugawa K, Koyanagi N, Hashizume M, Tomikawa M, Ayukawa K, Akahoshi K, et al. A comparison of open and laparoscopic appendectomy for patients with liver cirrhosis. Surg Laparosc Endosc Percut Tech 2001;11:189-94.

Mahal A S, Knauer C, Gregory P B. Bleeding after liver biopsy. West J Med1981;134:11-14.

Nicholas P, Rinaudo P, Conn HO. Increased incidence of cholelithiasis in Laennec' scirrhosis: Apost-mortem evaluation of pathogenesis. Gastrenterology1972;63:112-21.

Bouchier IA. Postmortem study of the frequency of gallstones in patients with cirrhosis of the liver. Gut1969;10:705-10.

Maggi A, Solenghi D, Panzeri A, Borroni G, Cazzaniga M, Sangiovanni A, et al. Prevalence and incidence of cholelithiasis in patients with liver cirrhosis. Ital J Gastroenterol Hepatol 1997;29:330-35.

Mahal A S, Knauer C, Gregory P B. Bleeding after liver biopsy. West J Med1981;134:11-14.

Jeffers LJ, Findor A, Thung SN. Minimizing sampling error with laparoscopic guided liver biopsy of the right and left lobes. Gastrointest Endosc1991;37:A266.

Bouchier IA. Postmortem study of the frequency of gallstones in patients with cirrhosis of the liver. Gut1969;10:705-10.

Maggi A, Solenghi D, Panzeri A, Borroni G, Cazzaniga M, Sangiovanni A, et al. Prevalence and incidence of cholelithiasis in patients with liver cirrhosis. Ital J Gastroenterol Hepatol 1997;29:330-35.

McAlister V. Management of umbilical hernia in patients with advanced liver disease. Liver Transpl 2003;9:623-25.

Renzo C, Dorico R, Massimiliano B, Silvia C, Maria Antonella R, Claudio Z. Role of different techniques for the placemen tof Denver Peritone ovenous Shunt(PVS) in malign ascites. Surg Laparosc Endosc Percutan Tech2004;14:222-25.

Adisa AO, Mishra RK. Changing role of laparoscopy in the management of patients with cirrhosis. JMin Access Surg 2008 (cited 2011 Aug 19); 4:63-70. Available from: http://www.journalofmas.com/text.asp?2008/4/3/63/43089

Jeffers LJ, Findor A, Thung SN. Minimizing sampling error with laparoscopic guided liver biopsy of the right and left lobes. Gastrointest Endosc 1991;37:A266.

Sleeman D, Namias N, Levi D. Laparoscopic cholecystectomy in cirrhotic patients. J Am Coll Surg. 1998;187:400-403

Angrisani L, Lorenzo M, Corcione F. Gallstones in cirrhotic revisited by a laparoscopic view. J Laparoendosc Adv Surg Tech. 1997;7:213-220

McAlister V. Management of umbilical hernia in patients with advancedliver disease.Liver Transpl 2003;9:623-25.

Renzo C, Dorico R, Massimiliano B, Silvia C, Maria Antonella R, Claudio Z. Role of different techniques for the placemen tof Denver Peritone ovenous Shunt(PVS) in malign antascites. Surg Laparosc Endosc Percutan Tech. 2004;14:222-25.

Adisa AO, Mishra RK. Changing role of laparoscopy in the management of patients with cirrhosis. JMin Access Surg. 2008. 4:63-70.