Document Detail

Laparoscopic cholecystectomy after coronary artery bypass grafting using the right gastroepiploic artery: report of a case.
MedLine Citation:
PMID:  12203069     Owner:  NLM     Status:  MEDLINE    
A laparoscopic cholecystectomy (LC) was successfully performed on a 61-year-old man who had undergone coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA). He complained of right hypochondralgia 20 days after CABG. Gallstones were diagnosed and a cholecystectomy was performed 9 months after CABG. Under general anesthesia, the operation was performed using a pneumoperitonium. When a laparoscope was inserted, the RGEA pedicle could be clearly recognized. The pedicle obstructed the operating field and made the working space narrower than usual. No ST changes on the electrocardiogram were seen during LC, especially during the initiation of pneumoperitonium, the insertion of the ports, or when retracting the gallbladder. The postoperative course was uneventful. To avoid complications, care should be taken not to stretch the RGEA pedicle during LC, and careful monitoring of the electrocardiogram is also necessary. It is difficult to view the operating field and the RGEA pedicle together. It is therefore better to insert another laparoscope for concomitant monitoring of the RGEA pedicle.
Kazuhiro Sakamoto; Masayuki Kitajima; Tsuyoshi Okada; Shigeru Shirota; Mitsuhiro Matsuda; Suguru Watabe; Yoshifumi Lee; Yuichi Tomiki; Shigeru Kobayashi; Toshiki Kamano; Masahiko Tsurumaru; Kenji Takazawa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  32     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2002  
Date Detail:
Created Date:  2002-08-30     Completed Date:  2003-02-04     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  840-3     Citation Subset:  IM    
First Department of Surgery, Juntendo University, School of Medicine, Tokyo, Japan.
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MeSH Terms
Cholecystectomy, Laparoscopic*
Cholelithiasis / surgery*
Coronary Artery Bypass / methods*
Gastroepiploic Artery / transplantation*
Middle Aged
Postoperative Complications / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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