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Revista argentina de cirugía
Print version ISSN 2250-639XOn-line version ISSN 2250-639X
Abstract
PETRACCHI, Enrique J. et al. Cholecystectomy and heart transplantation. Rev. argent. cir. [online]. 2021, vol.113, n.2, pp.224-228. ISSN 2250-639X. http://dx.doi.org/10.25132/raac.v113.n2.1525.ei.
Background:
The advances in perioperative care and immunosuppressive treatment resulted in a significant increase in survival of transplant patients; as a result, cholelithiasis is more common in transplant patients.
Objective:
The aim of this study is to analyze and describe the results obtained in cholecystectomies in heart transplant patients.
Material and methods:
We selected patients by cross-referencing the databases of heart transplantation and scheduled biliary surgeries, and collected information on their medical history, clinical parameters and laboratory tests, among other data.
Results:
Between January 1994 and December 2017, 154 heart transplant procedures were performed; mean age was 40 years; 16 underwent laparoscopic cholecystectomy after heart transplantation and were included in this study. There were no complications, readmissions or deaths.
Conclusion:
Laparoscopic cholecystectomy is safe and is the method of choice for heart transplant patients with cholelithiasis. Intraoperative cholangiography should be performed as the predictors of choledocholithiasis are usually abnormal.
Keywords : Transplantation; Cholelithiasis; Immunosuppression.