Document 0969
 DOCN  M9540969
 TI    Laparoscopic surgery in patients with human immunodeficiency virus.
 DT    9504
 AU    Tanner AG; Hartley JE; Darzi A; Rosin RD; Monson JR; Academic Surgical
       Unit, Imperial College of Science, Technology; and Medicine, St Mary's
       Hospital, London, UK.
 SO    Br J Surg. 1994 Nov;81(11):1647-8. Unique Identifier : AIDSLINE
       MED/95128698
 AB    Fifteen patients with acquired immune deficiency syndrome (AIDS), and
       one who tested positive for human immunodeficiency virus but had no
       AIDS-defining diagnosis, underwent a range of laparoscopic procedures
       between March 1991 and March 1993. Seven cholecystectomies and one
       cholecystojejunostomy were performed. Three patients underwent
       diagnostic laparoscopy after presenting with abdominal emergencies. Two
       further patients had laparoscopic adhesiolysis and one appendicectomy. A
       further patient underwent laparoscopically assisted end colostomy and
       another an inguinal hernia repair, both performed electively. Two
       patients died in the postoperative period. There was little
       postoperative morbidity. Six patients died 3-18 months after surgery
       from progressive AIDS. This early experience suggests that laparoscopic
       surgery is well tolerated in these patients.
 DE    Acquired Immunodeficiency Syndrome/COMPLICATIONS/MORTALITY/  *SURGERY
       Adult  Cholecystectomy, Laparoscopic/MORTALITY
       Choledochostomy/MORTALITY  Disease Transmission, Patient-to-Professional
       Female  Human  Length of Stay  Male  Middle Age  *Surgery,
       Laparoscopic/MORTALITY  JOURNAL ARTICLE

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