Outcomes of Laparoscopic Cholecystectomy in Patients with End-Stage Renal Disease

• 作者: Cem Aydo?an Feza Y. Karakayal? G?khan Moray Tugan Tezcaner Yahya Ekici
• 来源期刊: 临床医学国际期刊(英文)
• 学科: 医学
• 关键词: LAPAROSCOPIC CHOLECYSTECTOMY END-STAGE RENAL Disease HEMODIALYSIS
• 年，卷（期）: 2014,（20）
• 页码范围: 1300-1305
• 页数: 6页
• 分类号: R6

摘要

Purpose: In this study, we aimed to discuss the laparoscopic cholecystectomy in patients with end stage renal disease compared to the general population. Materials and Methods: We retrospectively evaluated a group of patients with (n = 45) and without (n = 90) end-stage renal disease undergoing laparoscopic cholecystectomy. The groups were compared in terms of length of surgery;duration of hospitalization after surgery;use of blood derivatives;mortality rates;and perioperative, postoperative, and postdischarge complications. Results: Patients with end-stage renal disease exhibited a higher frequency of associated diseases;lower hemoglobin levels;and elevated alkaline phosphatase, blood urea nitrogen, and creatinine values. Statistically significant differences were found between the two groups regarding length of surgery (83.6 ± 14.88 vs. 71.7 ± 11.42 minutes;p p p = 0.011), postoperative (p p = 0.011) rates. Among all patients with end-stage renal disease, 12 (26.7%) were converted to an open procedure (p < 0.001). Conclusion: Despite higher complication rates of laparoscopic cholecystectomy in end-stage renal disease patients, laparoscopic cholecystectomy could be performed safely in patients with end-stage renal disease with low levels of complications and no associated mortality.