Simultaneous laparoscopic cholecystectomy and kidney transplantation: report of two cases

An audit of laparoscopic cholecystectomy in renal transplant patients

Background:

Choleliathisis, in patients with renal transplantation, carries high risk of complications. We, at our institute, perform prophylactic cholecystectomy for aymptomatic gallstones in patients with renal transplantation.

Aim:

To present our experience of laparoscopic cholecystectomy in patients with kidney transplantation.

Subjects and Methods:

Data, in the form of, demographics, medications used, indication of transplantation, manifestation of gallstones, operative findings, duration of hospitalization, and post-operative complications were obtained and results were analyzed. briefly summarize details of statistics including the soft ware used.

Results:

Twenty patients have undergone laparoscopic cholecystectomy. All patients were admitted on the day of surgery. Immunosuppression regimen was not modified during hospitalization. Indications of cholecystectomy were biliary colic (8/20 patients, 40%), acute cholecystitis (8/20 patients, 40%), asymptomatic gallstones (3/20 patients, 15%), and obstructive jaundice (1/20 patients, 5%). Laparoscopic cholecystectomy was uneventful in all cases. Post-operative complications were nausea and vomiting in two patients and port site infection in one patient.

Conclusion:

Laparoscopic cholecystectomy, when performed in renal transplant patients, is a safe procedure.

Laparoscopic Cholecystectomy for Renal Transplants

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.