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
Related Documents :
7579849 - The effect of the single aortic cross-clamp technique on cardiac and cerebral complicat...
16731139 - Severity of angina as a predictor of quality of life changes six months after coronary ...
1417279 - Risk analysis of operative intervention for failed coronary angioplasty.
16314909 - Coronary pressure measurement to determine treatment strategy for equivocal left main c...
15003099 - Off-pump redo coronary artery bypass grafting via left thoracotomy.
15640529 - Impact of continued hospitalization in patients pre-treated with clopidogrel prior to c...
8873539 - Small, oral dose of clonidine reduces the incidence of intraoperative myocardial ischem...
12039489 - Implantation of the permanent jarvik-2000 left ventricular assist device: a single-cent...
1080439 - Long-term survival following coronary bypass surgery in patients with significant impai...
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.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
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

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.