| Laparoscopic cholecystectomy after coronary artery bypass grafting using the right gastroepiploic artery: report of a case. | |
| | |
MedLine Citation:
|
PMID: 12203069 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Kazuhiro Sakamoto; Masayuki Kitajima; Tsuyoshi Okada; Shigeru Shirota; Mitsuhiro Matsuda; Suguru Watabe; Yoshifumi Lee; Yuichi Tomiki; Shigeru Kobayashi; Toshiki Kamano; Masahiko Tsurumaru; Kenji Takazawa |
Related Documents
:
|
8469339 - Brain magnetic resonance imaging in coronary artery bypass grafts: a pre- and postopera... 23158869 - Noninvasive mechanical ventilation in chronic obstructive pulmonary disease and in acut... 18215589 - Design of the future revascularization evaluation in patients with diabetes mellitus: o... 19463349 - Isolated disease of the proximal left anterior descending artery comparing the effectiv... 11908489 - Coronary artery bypass grafting in patients with severe left ventricular dysfunction: a... 16098419 - Five-year follow-up of the argentine randomized trial of coronary angioplasty with sten... 23208449 - Spontaneous hypothermia is not able to completely counteract cardiac arrest-induced mit... 11239369 - Autonomic influences on ventricular repolarization in congestive heart failure. 3421879 - A case of cardiovascular collapse due to adrenal insufficiency. |
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 |
Affiliation:
|
First Department of Surgery, Juntendo University, School of Medicine, Tokyo, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Cholecystectomy, Laparoscopic* Cholelithiasis / surgery* Coronary Artery Bypass / methods* Electrocardiography Gastroepiploic Artery / transplantation* Humans Male Middle Aged Postoperative Complications / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An unusual perforation of the colon: report of two cases.
Next Document: Spontaneous regression of a metastatic liver tumor: report of a case.