Table 4.

Comparison of laparoscopic versus open abdominal procedures in cirrhotic patients

Study	Design	Population	Findings
Cholecystectomy
Chimielecki et al27	Retrospective cohort	Open: 1852 Lap: 13,809	Open procedures associated with higher postop infection, hemorrhage, pRBC transfusion, liver failure
Laurence et al25	Meta-analysis of 3 RCTs35–37	Open: 108 Lap: 112	Open procedures associated with increased total postop complications, infections, hepatic insufficiency, and hospital LOS
Colectomy
Martinez et al38	Retrospective	Lap: 17	Morbidity 29% compared to 30–48% morbidity in open colon resections12,39
Appendectomy
Tsugawa et al40	Retrospective	Open: 40 Lap: 15	Open procedures associated with increased postoperative morbidity and pain