Koike R, Kimura H, Sugihara J, Ishimoto S, Kotani Y, Imai K, Taniura T, Ougitani N
Department of Cardiovascular Surgery, Kita-Osaka Hospital.
Kyobu Geka. 1991 Feb;44(2):145-50.
The frequency of patients requiring non-cardiac surgery complicates ischemic heart disease (IHD) is increasing, however, there have been few reports of combined coronary revascularization and abdominal surgery. In this paper, we describe three patients with IHD and cholecystolithiasis in whom simultaneous coronary artery bypass grafting (CABG) and cholecystectomy was successfully performed. Initially, CABG was performed employing standard extracorporeal circulation through median sternotomy. After closure of chest, cholecystectomy was carried out through right pararectal laparotomy. Their postoperative course was uneventful. Relief of angina and freedom from epigastralgia were obtained in all patients. Combined CABG and cholecystectomy is beneficial for the selected patients.
需要进行非心脏手术的合并缺血性心脏病（IHD）患者的数量正在增加，然而，关于冠状动脉血运重建与腹部手术联合进行的报道却很少。在本文中，我们描述了3例患有IHD和胆结石的患者，他们同时成功地接受了冠状动脉旁路移植术（CABG）和胆囊切除术。最初，通过正中胸骨切开术采用标准体外循环进行CABG。关闭胸部后，通过右直肠旁剖腹术进行胆囊切除术。他们的术后过程平稳。所有患者的心绞痛均得到缓解，上腹部疼痛消失。联合CABG和胆囊切除术对选定的患者有益。
