Is every patient fit for laparoscopic cholecystectomy?
No. Most surgeons would not recommend laparoscopic cholecystectomy in those with pre-existing disease conditions. Patients with cardiac diseases and COPD should not be considered a good candidate for laparoscopy. Laparoscopic cholecystectomy may also be more difficult in patients who have had previous upper abdominal surgery. The elderly may also be at increased risk for complications with general anaesthesia combined with pneumoperitoneum. Laparoscopy does add to the surgical risk in patients with a lowered cardio-pulmonary reserve with regard to the consequences of the pneumoperitoneum and a longer operative time.Back to TopProf. Dr. R. K. Mishra.Minimal Access SurgeonClick here for free laparoscopic surgery.