PMID: 3761476Oct 1, 1986Paper

Cholelithiasis and aortic reconstruction: the problem of simultaneous surgical therapy. Conclusions from a personal series

Journal of Vascular Surgery
R E Fry, W J Fry

Abstract

From 1976 to 1983, 682 patients have undergone aortic reconstruction at Parkland Memorial Hospital and the Veterans Administration Hospital in Dallas, Texas. Thirty-five patients (5.1%) had a biliary tract operation performed before, during, or after their aortic procedure. Fourteen percent of patients had bacteria in the bile and 11.4% needed common bile duct exploration. Twelve patients had their aortic reconstruction first. Biliary pancreatitis developed postoperatively in one patient. Two patients who had infected prostheses removed had acalculous cholecystitis after operation and one had jaundice and fever 3 years after operation, but no biliary disease was found. Twenty-one patients had the biliary procedure first. Four patients were operated on for suspected aneurysm rupture an average of 18 months after operation. There was one true rupture; this patient had no gallstones. One patient had acute aortic thrombosis 10 days after emergency operation for acute cholecystitis. Only two patients underwent combined operative procedures; both were patients with acute aortic problems in whom chronic and subacute biliary disease was found. Eight operative deaths occurred, all in the patients undergoing aortic procedures. There were...Continue Reading

References

Sep 1, 1984·Journal of Vascular Surgery·K OurielJ T Adams
Dec 1, 1984·Archives of Surgery·R M DevineP Mucha
Dec 1, 1983·American Journal of Surgery·J H ThomasG E Pierce
Aug 1, 1984·Annals of Internal Medicine·J L ThistleT Hersh
Mar 1, 1980·Archives of Surgery·R J SwansonR J Stoney
Jan 1, 1965·Annals of Surgery·C E CAHOW, F GLENN

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