Document Detail

Laparoscopic cholecystectomy in critically ill cardiac patients.
MedLine Citation:
PMID:  8256928     Owner:  NLM     Status:  MEDLINE    
From August 1989 to January 1993, the authors performed laparoscopic biliary operations in 900 patients, 13 of whom had severe cardiac dysfunction. Nine patients were Goldman Class IV, and four patients were Goldman Class III. Three patients had recent myocardial infarction, five patients were known to have low left ventricular ejection fractions (10%, 21%, 25%, 26%, and 30%), one had severe myocardial ischemia, one had severe congestive heart failure, and one was in profound shock. Nine patients underwent successful laparoscopic cholecystectomy. Laparoscopic cholecystostomies were performed in three patients. One operation was converted to an open cholecystectomy. There was one death within 30 days of surgery. With appropriate hemodynamic monitoring and adequate perioperative support of cardiac function, laparoscopic cholecystectomy can be performed safely for acute cholecystitis in patients with severe cardiac disease. When compared with historical controls, laparoscopic cholecystectomy appears to be safer than open cholecystectomy.
B J Carroll; M Chandra; E H Phillips; D R Margulies
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  59     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1993 Dec 
Date Detail:
Created Date:  1994-01-12     Completed Date:  1994-01-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  783-5     Citation Subset:  IM    
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA.
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MeSH Terms
Acute Disease
Aged, 80 and over
Cholecystectomy, Laparoscopic*
Cholecystitis / complications*,  surgery*
Cholecystostomy / methods
Critical Illness
Heart Diseases / complications*
Los Angeles
Middle Aged
Monitoring, Intraoperative
Postoperative Care
Postoperative Complications / epidemiology
Treatment Outcome

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

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