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Revista argentina de cirugía
versión impresa ISSN 2250-639Xversión On-line ISSN 2250-639X
Resumen
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.
Palabras clave : Transplantation; Cholelithiasis; Immunosuppression.