Laparoscopic cholecystectomy in chronic ambulatory peritoneal dialysis.

ABSTRACT

Laparoscopic cholecystectomy is the established procedure for treatment of cholelithiasis. There is no consensus on its use in patients receiving chronic ambulatory peritoneal dialysis, and there is no clear recommendation in the literature of how to manage perioperative dialysis. With the increased practice of laparoscopic techniques, peritoneal dialysis can be resumed soon after the surgical procedure without interruption of hemodialysis. We present a successful case of laparoscopic cholecystectomy in a patient receiving chronic ambulatory peritoneal dialysis, and we recommend that laparoscopic cholecystectomy should be used in this patient population who are often at an increased risk for perioperative complications and would benefit from a less invasive surgical technique.