• Surgical endoscopy · Aug 1995

    Case Reports

    Cholecystectomy in the peritoneal dialysis patient. Unique advantages to the laparoscopic approach.

    • T H Magnuson, J S Bender, K A Campbell, and L E Ratner.
    • Department of Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA.
    • Surg Endosc. 1995 Aug 1;9(8):908-9.

    AbstractLaparoscopic cholecystectomy has proven to be a safe and effective treatment for symptomatic gallstone disease. Several subsets of patients, however, may not be candidates for the laparoscopic approach, including patients with morbid obesity, acute cholecystitis, and previous abdominal surgery. Because of peritoneal thickening and abdominal adhesions secondary to peritoneal dialysis, the applicability of laparoscopic cholecystectomy in patients maintained on chronic peritoneal dialysis is also unclear. We performed laparoscopic cholecystectomy on three peritoneal dialysis patients without intraoperative complications. We have noted several unique advantages to laparoscopic surgery in this patient population and advocate this approach in peritoneal dialysis patients requiring cholecystectomy.

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