Biliary surgery after heart transplantation

American Journal of Surgery
F MenegauxI Gandjbakhch

Abstract

Biliary tract diseases are frequent in heart transplant recipients, with significant morbidity and mortality. Since the first presentation of gallstones in this population is often acute cholecystitis, asymptomatic cholelithiasis should not be considered benign. We retrospectively reviewed 18 heart transplant recipients who underwent cholecystectomy from January 1991 to June 1997. We intentionally chose to perform a straightforward open procedure when acute cholecystitis was suspected (3 patients). A laparoscopic cholecystectomy was performed in all the other cases (15 patients) without conversion to open procedure. Since no significant complications were observed in our patients, we believe that transplant recipients with cholelithiasis should undergo laparoscopic cholecystectomy in their posttransplantation course regardless of the symptomatic status of their biliary tract.

References

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Jun 1, 1996·Annals of Surgery·M MilasK Kanter
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Citations

Oct 8, 2004·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Gregory L BrysonCanadian Ambulatory Anesthesia Research Education group
Aug 2, 2003·Journal of the American College of Surgeons·Lillian S KaoDavid R Flum
Feb 1, 2003·Annals of Surgery·William S RichardsonJohn C Bowen
May 10, 2002·Pediatric Transplantation·Rainer Ganschow
Jul 9, 2002·Pediatric Transplantation·Andreas G SakopoulosLeonard L Bailey
Apr 24, 2010·Revista do Colégio Brasileiro de Cirurgiões·Júlio Cezar Uili CoelhoAlzemir Santos da Silva Junior
Sep 2, 2016·World Journal of Emergency Surgery : WJES·Nicola de'AngelisDaniel Azoulay

Related Concepts

Cholecystectomy Procedure
Cholelithiasis
Retrospective Studies
Heart Transplantation
Cholecystectomy, Laparoscopic

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