[Open cholecystectomy in cirrhotic patients. Experience at the Salvador Zubirán National Institute of Nutrition]

Abstract

Aims: To inform the morbidity and mortality observed in cirrhotic patients who underwent open cholecystectomy.

Methods: We reviewed the clinical records of 31 cirrhotics that underwent open cholecystectomy and they were compared with a control group of the same age and sex.

Results: Despite administration of plasma or vitamin K or both, bleeding and transfusions during surgery were observed more frequently in cirrhotics. The morbidity was 13% in the controls and 42% in the cases. Renal failure, cardiac failure and upper gastrointestinal bleeding were present only in the cirrhotics. Mortality was 16% in this group (one Child A patient and four Child B-C patients). The variable related with major morbimortality was Child B or C classification.

Conclusions: Open cholecystectomy was associated with high morbimortality. The valoration and preparation before surgery must be careful, and the indication from this procedure needs to be made with caution.