Laparoscopic cholecystectomy in anticoagulated patients

  title={Laparoscopic cholecystectomy in anticoagulated patients},
  author={Stephen D. Fitzgerald and Patrick V. Bailey and Gregory J. Liebscher and Charles H. Andrus},
  journal={Surgical Endoscopy},
Although minimally surgically invasive, laparoscopic surgery has yet to be proven safe in patients receiving anticoagulants. Retrospectively, the laparoscopic management of four patients requiring anticoagulation for cardiac valvular prostheses or chronic atrial fibrillation was reviewed with regard to potential hemorrhagic complications. Warfarin was discontinued preoperatively in all cases. Heparin anticoagulation was individualized according to each patient’s risk for thrombosis… CONTINUE READING