What are the contraindications to laparoscopic cholecystectomy?

Updated: Mar 12, 2019
  • Author: Alan A Bloom, MD; Chief Editor: BS Anand, MD  more...
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Answer

Contraindications of laparoscopic cholecystectomy include the following:

  • High risk for general anesthesia

  • Morbid obesity

  • Signs of gallbladder perforation, such as abscess, peritonitis, or fistula

  • Giant gallstones or suspected malignancy

  • End-stage liver disease with portal hypertension and severe coagulopathy

The 2010 SAGES guideline adds to these contraindications septic shock from cholangitis, acute pancreatitis, lack of equipment, lack of surgical expertise, and previous abdominal surgery that impedes the procedure. [37]


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