Related Experiment Video
Updated: Aug 14, 2026
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Laparoscopic cholecystectomy and open-heart surgery at the same time
Manouchehr Hekmat1, Hamid Reza Taghipoor, Mohammad Rezvan Nobahar
1Cardiac Surgery Ward of Modarres Hospital, Beheshti University of Medical Sciences, Tehran, Iran. rezaei_nima@hbi.ir
Insights
Simultaneous laparoscopic cholecystectomy during open-heart surgery can reduce complications and hospital stay for patients with coronary artery disease or valvular disease. This combined approach offers a safer alternative for necessary abdominal procedures.
Area of Science:
- Cardiothoracic Surgery
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Patients with coronary artery disease or severe valvular disease face high risks during abdominal procedures.
- Concurrent cardiac and abdominal surgeries traditionally carry significant mortality and morbidity.
- Preventing bile peritonitis is crucial after cardiac surgery.
Observation:
- Two patients underwent simultaneous laparoscopic cholecystectomy and open-heart surgery.
- One patient had coronary artery bypass surgery for coronary artery disease.
- The other patient underwent mitral valve replacement for severe mitral valve disorder.
Findings:
- Simultaneous laparoscopic cholecystectomy was successfully performed in both open-heart surgery patients.
- The combined approach aimed to reduce hospitalization and decrease mortality and morbidity.
- This strategy addresses the need for abdominal procedures in high-risk cardiac patients.
Implications:
- Laparoscopic cholecystectomy can be safely combined with open-heart surgery.
- Simultaneous procedures may lower mortality and morbidity in complex cardiac patients.
- This approach offers a potentially improved management strategy for patients requiring both cardiac and abdominal interventions.
Background:
Abdominal procedures in patients with coronary artery disease or severe valvular disease have high risk of mortality and morbidity.
Aims:
In order to prevent bile peritonitis after cardiac surgery, to reduce the hospitalization course, and to decrease the mortality and morbidity after the surgery, laparoscopic cholecystectomy and open-heart surgery were performed at the same time.
Methods:
Laparoscopic cholecystectomy and open-heart surgery were performed on two patients who had been referred to Cardiothoracic Ward of Modarres Hospital, Tehran, Iran.
Results:
Simultaneous classic laparoscopic cholecystectomy was successfully performed on two different open-heart patients, one with coronary artery disease for coronary artery bypass surgery and the other with severe mitral valve disorder for mitral valve replacement.
Conclusions:
Abdominal procedures are suggested to be done with cardiac surgery at the same time with laparoscopic technique to reduce mortality and morbidity in these patients.