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Safety of Laparoscopy in Patients with Advanced Liver Cirrhosis: Case Report and Literature Review

Liver cirrhosis was previously considered as an absolute contraindication to laparoscopic surgery because of its associated coagulation defects, portal hypertension, and nutritional disorders. Recently laparoscopy is being used increasingly in the diagnosis and treatment of patients with liver cirrhosis because of introducing low risks anesthetic agents and drugs, and less invasive surgical techniques. At present, it is well established that although the risk of laparoscopy in cirrhotic patients, is real, it is not significant enough to contraindicate the procedure. Laparoscopic surgery in patients with advanced liver cirrhosis is have been discouraged because of the high morbidity and mortality. We report a case of advanced cryptogenic decompensated liver cirrhosis who had laparoscopic retrieval of the intra-abdominal foreign body without postoperative complications or deterioration of his liver functions. We also review the literature for the safety of laparoscopy in patients with advanced liver cirrhosis.