Laparoscopic Cholecystectomy In Patients With Previous Renal Transplantation

Laparoscopic Cholecystectomy In Patients With Previous Renal Transplantation

Authors

  • Dr. Sutariya Vaibhav K
  • Dr.Tank Anand H
  • Dr.Patel Prakash B
  • Dr.Modi Pranjal R

Keywords:

Gallstones, Laparoscopic cholecystectomy, Renal Transplantation

Abstract

Objective: To analyse and present our experience of laparoscopic cholecystectomy in patients with previous renal transplantation. Materials and Methods: Records of patients who have undergone laparoscopic cholecystectomy after kidney transplantation from January, 2010 to December, 2010 were reviewed. Data, in form of, demographics, medications used, indication of transplantation, manifestation of gallstones, operative findings, duration of hospitalisation and postoperative complications were obtained and analyzed. Results: Ten patients have undergone laparoscopic cholecystectomy. All patients were admitted on the day of surgery. Immunosuppression regimen was not modified during hospitalisation. Indications of cholecystectomy were billiary colic (4), acute cholecystitis (4) and asymptomatic gallstones (2). Laparoscopic cholecystecomy was uneventful in all cases. Postoperative complications were nausea and vomiting in two patients and port site infection in one patient. Conclusion: Laparoscopic cholecystectomy is safe and feasible in patients who have undergone renal transplantation.

References

1. Graham SM, Flowers JL, Schweitzer E, et al. The utility of prophylactic laparoscopic cholecystectomy in transplant candidates. Am J Surg 1995;169:44-8.
2. Lorber MI, Van Buren CT, Flechner SM, Wiiliams C, Kahn BD. Hepatobiliary and pancreatic complications of cyclosporine therapy in 466 renal transplant recipients. Transplantation 1987;43:35-40.3. Soper NJ, Stockmann PT, Dunnegan DL, et al. Laparoscopic Cholecystectomy: the new ‘gold standard’? Arch Surg 1992:127S:917-921.
4. Melvin W S, Meier D J, Elakhammas E A, et al. Prophylactic cholecystectomy is not indicated following renal transplantation. Am J Surg 1998;175:317-9.
5. Lethai B, Dumont M, Micheal M, Erlinger S, Houssin D. Cyclosporin induced cholestasis : Inhibition of bile acid secretion is caused by parenteal molecule. Transplant Proc 1987;19:4149-51.
6. Maio R, Carraca J, Batista L et al. Laparoscopic cholecystectomy and renal transplantation. Transplant Proc 2003;35:1100-1101.
7. Moray G, Basaran O, Karakayali H, Yagmurdur C, Bilgin N, Haberal M. Evaluation and treatment of biliary lithiasis in renal transplant candidates. Transplant Proc 2003;35:2712-13.
8. Choi SJ, Noh JH, Yoo HS et al. Simultaneous laparoscopic cholecystectomy and kidney transplantation: report of two cases. Transplant Proc 2003;35:319-20.
9. Greenstein SM, Katz S, Sun S et al. Prevalence of Asymptomatic Choleliathiasis and Risk of Acute Cholecystitis After Kidney Transplantation.Transplantation 1997;15;63: 1030-32.
10. Banli O, Guvence N, Altun H. Laparoscopy Cholecystectomy for renal Transplants. Transplant Proc. 2005; 37:2127-28.
11. Delorio T, Thompson A, Larson GM, Bentley F, Miller F: Laparoscopic cholecystectomy in transplant patients. Surg Endosc1993;7:404-7.

Downloads

Published

2012-08-31

How to Cite

K, D. S. V., H, D. A., B, D. P., & R, D. P. (2012). Laparoscopic Cholecystectomy In Patients With Previous Renal Transplantation: Laparoscopic Cholecystectomy In Patients With Previous Renal Transplantation. National Journal of Integrated Research in Medicine, 3(3), 60–62. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/2039

Issue

Section

Original Articles

Most read articles by the same author(s)