Related Experiment Video
Updated: Jul 30, 2026
Application of Hemostatic Devices in Laparoscopic Hepatectomy
Published on: April 19, 2022
Feasibility and Safety of Concomitant Laparoscopic Cholecystectomy With Open-Heart Surgery: A Systematic Review and
Shresth Manglik1, Camelia Pal1, Urmila Basu1
1Department of General Surgery and Minimally Invasive Surgery, Narayana Hospital - Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, IND.
Insights
For patients with gallstones and heart disease, combining open-heart surgery with laparoscopic cholecystectomy in one setting is a safe and effective strategy. This approach avoids complications from separate procedures, ensuring better patient outcomes.
Area of Science:
- Cardiology
- Gastroenterology
- Surgical Innovation
Background:
- Patients with symptomatic cholelithiasis (gallstones) often have co-existing coronary artery or valvular heart disease.
- Performing isolated laparoscopic cholecystectomy in these patients can lead to significant cardiac complications.
- Addressing cardiac conditions first may cause cholecystitis to flare up postoperatively, increasing adverse outcomes.
Purpose of the Study:
- To systematically review existing literature on the strategy of concomitant open-heart surgery and laparoscopic cholecystectomy.
- To present initial clinical experience with two patients undergoing this combined surgical approach.
Main Methods:
- A systematic review of PubMed, OVID Medline, and Cochrane Library databases was conducted.
- Searches used Medical Subject Headings (MeSH) and keywords until August 1, 2023, with no restrictions on study type, language, or publication date.
- Identification and review of all publications reporting simultaneous open-heart surgery and laparoscopic cholecystectomy.
Main Results:
- Two patient cases are presented: one with coronary artery bypass grafting and laparoscopic cholecystectomy, and another with double valve replacement and laparoscopic cholecystectomy.
- Both patients experienced uneventful recoveries and remain well.
- The systematic review identified and analyzed relevant published articles on this combined surgical strategy.
Conclusions:
- Concomitant open-heart surgery and laparoscopic cholecystectomy is a viable and safe option for select patients.
- This combined approach can be performed successfully, potentially mitigating risks associated with staged procedures.
Abstract:
Significant valvular or coronary artery disease may co-exist in patients presenting with symptomatic cholelithiasis. Isolated laparoscopic cholecystectomy in these cases is often associated with cardiac complications. Addressing the cardiac condition first may result in flaring up of cholecystitis during postoperative recovery and is associated with adverse outcomes. Open-heart surgery followed by laparoscopic cholecystectomy during a single operative setting is an option in these situations. The aim of our study is to review the published articles for this strategy and to share our initial experience with two such patients. PubMed, OVID Medline, and Cochrane library database were used, and we searched these databases using Medical Subject Headings (MeSH) terms and keywords from the inception date until August 1, 2023, and did not restrict our search to any language, study type, sample size, or publication date. All the publications reporting concomitant laparoscopic cholecystectomy and open-heart surgery were identified and a systematic review was carried out. Our first case underwent coronary artery bypass grafting and laparoscopic cholecystectomy. The second patient underwent a double valve replacement and laparoscopic cholecystectomy. Both the patients made an uneventful recovery, and are alive and doing well. Concomitant open-heart surgery and laparoscopic cholecystectomy in certain situations may be necessary and can be performed safely.
