Concomitant Cholecystectomy and Open Heart Surgery |
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Authors: | Nicholas Charokopos Polychronis Antonitsis Constantine Spanos Efthymia Rouska Panagiotis Spanos |
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Institution: | (1) Department of Thoracic and Cardiovascular Surgery, AHEPA University Hospital, Aristotelian University of Thessaloniki, Thessaloniki, Greece;(2) First Department of Surgery, Papageorgiou General Hospital, Aristotelian University of Thessaloniki, Thessaloniki, Greece;(3) N. Charokopos, 22, Grigoriou E' str., Panorama, 552 36 Thessaloniki, Greece |
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Abstract: | Purpose Cholelithiasis may be present concomitantly with cardiac disease. We performed a retrospective study to verify the safety
and efficacy of synchronous cholecystectomy and open heart surgery.
Methods Between 1999 and 2004, we performed synchronous cholecystectomy and open heart surgery in nine patients (group A) and open
heart surgery alone in 1248 patients (group B). Open heart surgery was performed with open cholecystectomy (OC) in seven (77.7%)
patients and with laparoscopic cholecystectomy (LC) in two (22.2%) patients. One patient with unstable angina and acute cholecystitis
underwent simultaneous procedures. The indications for open heart surgery were coronary artery disease in eight (88.8%) patients
and severe aortic stenosis in one (11.2%) patient.
Results In group A, the mean number of bypass grafts performed was 2.5 ± 0.5, the mean operative time was 348.4 min, and patients
remained intubated for 25.7 ± 6.7 h. The mean intensive care unit (ICU) stay was 4.1 ± 1.6 days and the mean postoperative
hospital stay was 19.2 ± 5.7 days. There was a significant difference between the two groups in these two variables. No intra-abdominal
complications or mediastinitis occurred in the immediate postoperative period in the setting of concomitant procedures and
the mortality rate was zero.
Conclusion Synchronous cholecystectomy and open heart surgery can be performed safely in selected patients. |
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Keywords: | Cholecystectomy Open heart surgery |
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