       Document 0052
 DOCN  M9630052
 TI    Complications of laparoscopic cholecystectomy in HIV and AIDS patients.
 DT    9603
 AU    Carroll BJ; Rosenthal RJ; Phillips EH; Bonet H; Division of Minimally
       Invasive Surgery, Cedars Sinai Medical; Center, Los Angeles, CA 90048,
       USA.
 SO    Surg Endosc. 1995 Aug;9(8):874-8. Unique Identifier : AIDSLINE
       MED/96016676
 AB    We retrospectively evaluated the results of laparoscopic cholecystectomy
       in patients infected with the human immunodeficiency virus (HIV) with
       and without acquired immunodeficiency syndrome (AIDS). One thousand one
       hundred twenty-seven consecutive patients underwent laparoscopic
       cholecystectomy by our surgical group. Eighteen of these patients were
       known to be infected with the HIV virus; 6 were asymptomatic and 12 had
       AIDS. We reviewed the medical records of all HIV-positive individuals
       with regard to morbidity, mortality, and postoperative outcome following
       laparoscopic cholecystectomy. In the six HIV-patients without AIDS, five
       (83%) had improvement of symptoms postoperatively. There was one minor
       complication (17%). In contrast, only one of the 12 patients with AIDS
       had postoperative improvement of symptoms and eight (66%) had
       complications after surgery. There were four deaths (33%) within 30 days
       of surgery in this group. Only a small percentage of AIDS patients
       benefit from laparoscopic cholecystectomy. There is a significantly
       morbidity and mortality following this procedure in this group.
       Strategies to improve outcome are presented.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS  Adult
       *Cholecystectomy, Laparoscopic/ADVERSE EFFECTS/MORTALITY
       Cholecystitis/*SURGERY  Female  Human  HIV Seropositivity/*COMPLICATIONS
       Male  Middle Age  *Postoperative Complications  Retrospective Studies
       Treatment Outcome  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

