Nakao T, Kawaue Y
Department of Cardiovascular Surgery, Koseiren Hiroshima General Hospital, Japan.
Nihon Geka Gakkai Zasshi. 1993 May;94(5):530-3.
For two cases of cholelithiasis found before the coronary artery bypass grafting (CABG) using the right gastroepiploic artery (GEA), CABG and cholecystectomy were performed simultaneously, and favorable results were obtained. This mode of operations is very useful, being able to make use of GEA easily upon laparotomy, in addition to reduce the risks of surgical complications such as anesthetic accident, infection, etc. Further, both two cases had nearly no operative invasion by cholecystectomy related to either operative time, ingestion starting time or duration of hospital stay. Therefore, whenever cholelithiasis is found before CABG using GEA in the future, cholecystectomy shall be performed simultaneously.
对于两例在使用右胃网膜动脉（GEA）进行冠状动脉旁路移植术（CABG）前发现胆结石的患者，同时进行了CABG和胆囊切除术，并取得了良好的效果。这种手术方式非常有用，除了能降低麻醉意外、感染等手术并发症的风险外，还能在剖腹手术时轻松利用GEA。此外，这两例患者的胆囊切除术在手术时间、进食开始时间或住院时间方面几乎没有手术侵袭。因此，今后在使用GEA进行CABG前发现胆结石时，应同时进行胆囊切除术。
