Banli O, Guvence N, Altun H
SSK Ankara Ihtisas Hospital Transplantation Center Ankara, Turkey.
Transplant Proc. 2005 Jun;37(5):2127-8. doi: 10.1016/j.transproceed.2005.03.116.
The diagnosis and management of cholelithiasis in renal transplant patients are subjects of debate. The purpose of this study was to evaluate the outcomes of laparoscopic cholecystectomy in renal transplant patients with symptomatic gallstone disease. The records of 155 kidney transplant patients were reviewed, including 16 patients who, underwent laparoscopic cholecystectomy. Shortest interval time between transplantation and cholecystectomy was 2 years. Surgical morbidity were seen in two patients (12.5%) with no mortality and no graft loss. In conclusion, laparoscopic cholecystectomy can be performed safely with low morbidity in renal transplant patients who have symptomatic gallstone disease. The morbidity rate is comparable to nontransplant patients.
肾移植患者胆石症的诊断和治疗是存在争议的话题。本研究的目的是评估有症状胆结石疾病的肾移植患者行腹腔镜胆囊切除术的结果。回顾了155例肾移植患者的记录,其中16例接受了腹腔镜胆囊切除术。移植与胆囊切除术之间的最短间隔时间为2年。两名患者(12.5%)出现手术并发症,无死亡病例,也没有移植物丢失。总之,对于有症状胆结石疾病的肾移植患者,腹腔镜胆囊切除术可以安全进行,并发症发生率低。其并发症发生率与非移植患者相当。