Carroll B J, Chandra M, Phillips E H, Harold J G
Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif. 90048.
J Heart Lung Transplant. 1992 Jul-Aug;11(4 Pt 1):831-3.
We report the first successful laparoscopic cholecystectomy for treatment of acute cholecystitis in a heart transplant candidate with end-stage heart disease. Eight successful cases of conventional cholecystectomy in heart transplant candidates have been reported, but convalescence after the conventional procedure is prolonged, and morbidity often interferes with a timely heart transplantation. Laparoscopic cholecystectomy is a less-invasive method for treatment of symptomatic cholelithiasis and cholecystitis and may be better tolerated in this patient population. Although further study is needed, we believe laparoscopic cholecystectomy will have applications in patients with end-stage heart disease.
我们报告了首例成功的腹腔镜胆囊切除术，用于治疗一名患有终末期心脏病且等待心脏移植的急性胆囊炎患者。此前已有8例心脏移植候选者成功接受传统胆囊切除术的报道，但传统手术后的恢复期较长，且并发症常常妨碍及时进行心脏移植。腹腔镜胆囊切除术是治疗有症状胆结石和胆囊炎的一种侵入性较小的方法，在这类患者群体中可能耐受性更好。尽管还需要进一步研究，但我们认为腹腔镜胆囊切除术将适用于终末期心脏病患者。
