Laparoscopic cholecystectomy in patients undergoing anticoagulant therapy

Surgery Today
T YoshidaT Hadama

Abstract

We recently performed a laparoscopic cholecystectomy on three patients receiving preoperative oral anticoagulant therapy. The patients requiring anticoagulants for pre-existing cardiac conditions have the following risks at surgery: thromboembolism, hemorrhage, endocarditis, and cardiopulmonary dysfunction. In patients receiving anticoagulant therapy, one must thus maintain a balanced international normalized ratio of the prothrombin time to prevent thromboembolism or hemorrhage. Warfarin sodium was discontinued preoperatively in all patients. Heparin sodium was individualized according to each patient's risk of thromboembolism. As a result, these patients all underwent a laparoscopic cholecystectomy without complications. Attention was paid to achieve hemostasis in the operative field and the trocar inserted sites during the procedure. The administration of warfarin sodium was resumed on the first postoperative day in all patients. Restarting warfarin sodium early also helps to simplify postoperative management. A broad spectrum of antibiotic therapy was also used to reduce the risk of endocarditis. Each patient's cardiopulmonary function was carefully monitored. The minimal invasion experienced during a laparoscopic cholecyst...Continue Reading

References

May 1, 1992·Surgical Endoscopy·S KitanoK Sugimachi
Aug 1, 1991·Archives of Surgery·C M WittgenD L Kaminski
Jan 1, 1991·Surgical Endoscopy·S D FitzgeraldC H Andrus
Nov 1, 1989·The British Journal of Surgery·S TravisK Harrison
May 9, 1987·British Medical Journal·L Poller
Jan 1, 1994·HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery·T MatsumataK Sugimachi
Sep 1, 1993·Journal of Gastroenterology and Hepatology·S Kitano, K Sugimachi

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Citations

Aug 20, 2005·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Emmanuel LeandrosManousos M Konstadoulakis
Apr 14, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Umit KocMusa Akoglu
Mar 25, 2011·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Koichi IshikawaSeigo Kitano
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Masayuki OhtaSeigo Kitano
Jun 22, 2010·Cirugía española·Purificación Calero GarcíaVirgilio Fresneda Moreno
Feb 20, 2018·Obesity Surgery·Gautam SharmaStacy A Brethauer
May 23, 2019·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Hiroaki NozawaSoichiro Ishihara

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