Rojano RM, Moreno PM, González ML, Pereira GF, León TA

Language: Spanish
References: 9
Page: 12-15
PDF size: 46.86 Kb.

ABSTRACT

Background: Laparoscopic cholecystectomy has been accepted as the treatment of choice for gallbladder lithiasis. There are special situations that make the execution more difficult and with that the morbimortality increases.
Patients and methods: From 2001 to 2004 we studied files of patients with chronic cholecystitis referred to our hospital for cholecystectomy with diagnosis of certain cardiovascular illnesses and heart failures. The measured variables: age, sex, cardiovascular diagnosis, heart failure classification, time of surgery, transoperatory hemorrhage, drainage usage, complications, conversion. We carried out a retrospective observational analysis.
Results: 10 patients were found with symptomatic chronic cholecystitis, all of them presented heart failure class I at the moment of surgery, 5 patients with valve replacement for rheumatic heart disease. With all the patients the laparoscopic cholecystectomy could be carried out, finding in all of them hepatomegaly and 2 patients needing endosuture. No further complications.
Conclusion: Patients with heart failure and symptomatic chronic cholecystitis, laparoscopic cholecystectomy may be applied trying to avoid hemorrhagic complications and possible variations in the surgical approach in order to adapt to the hepatomegaly.

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