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Synchronous Open Heart Surgery and Laparoscopic Cholecystectomy: An Observational Case Study with 28 Patients.

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    Synchronous laparoscopic cholecystectomy (LC) is a safe and effective treatment for acute cholecystitis (AC) in patients undergoing open heart surgery (OHS). This combined approach minimizes risks and improves outcomes for critically ill cardiac patients.

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    Area of Science:

    • Cardiovascular Surgery
    • Gastrointestinal Surgery
    • Surgical Outcomes

    Background:

    • Acute cholecystitis (AC) poses significant risks, including increased mortality and prolonged hospital stays, for patients undergoing open heart surgery (OHS).
    • Prompt treatment of AC is crucial, especially in cardiac patients awaiting OHS.

    Purpose of the Study:

    • To evaluate the safety and efficacy of performing synchronous laparoscopic cholecystectomy (LC) concurrently with open heart surgery (OHS).
    • To present data on combined cardiac and laparoscopic procedures for AC in patients with cardiac disease.

    Main Methods:

    • A retrospective analysis of 28 patients who underwent concomitant LC and OHS between January 2008 and September 2014.
    • Procedures were performed by the same experienced surgeon in a single session.

    Main Results:

    • No in-hospital mortality was observed. The overall complication rate was 28.6%, with four LC-related complications.
    • Patients had a mean intensive care unit stay of 3.1 days and a total hospital stay of 16.5 days.
    • Acalculous cholecystitis was present in 42.9% of patients.

    Conclusions:

    • Synchronous LC can be safely performed in patients scheduled for OHS, even in critically ill individuals.
    • Increased surgeon experience in laparoscopic procedures enhances the safety of concurrent surgeries.
    • This combined approach offers a viable solution for managing AC in cardiac patients awaiting OHS.