Tsuji Y, Okada M, Sasada A, Ota T, Hosokawa Y, Yamamoto S, Nakamura K
Department of Surgery, Kobe University School of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1991 Mar;92(3):360-2.
Six cases of the association of cardiovascular disease and cholelithiasis were treated in our surgical ward. Simultaneous operation was carried out for four of them, and two-stage operation was performed in the remaining two cases. As the time of the simultaneous operation, reconstruction of the abdominal aorta and cardiac surgery was firstly done, and cholecystectomy was secondly performed after closing the retroperitoneum or the median sternotomy. All of these cases were discharged from hospital uneventful. In conclusion, cholecystectomy could be safely performed at the same time of the aortic reconstruction and cardiac surgery without any high risk for the patients.
我院外科病房收治了6例心血管疾病合并胆石症的患者。其中4例进行了同期手术,其余2例进行了分期手术。同期手术时,先进行腹主动脉重建和心脏手术,关闭后腹膜或正中胸骨切开术后再行胆囊切除术。所有患者均顺利出院。总之,在主动脉重建和心脏手术同期进行胆囊切除术对患者无任何高风险,是安全可行的。