Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Cholelithiasis and aortic reconstruction.

S T String

    Journal of Vascular Surgery
    |September 1, 1984
    PubMed
    Summary

    Simultaneous cholecystectomy during abdominal aortic reconstruction for cholelithiasis is safe and recommended. Gallstone complications can arise if cholecystectomy is delayed, impacting patient outcomes.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Directional atherectomy and balloon angioplasty for lower extremity arterial disease.

    Annals of vascular surgery·1997
    Same author

    Art and commitment.

    Journal of vascular surgery·1996
    Same author

    Secondary recurrent carotid stenosis.

    Journal of vascular surgery·1996
    Same author

    Concomitant renal endarterectomy and aortic reconstruction.

    Journal of vascular surgery·1994
    Same author

    Endovascular surgery credentialing and training for vascular surgeons.

    Journal of vascular surgery·1993
    Same author

    Reporting standards for lower extremity arterial endovascular procedures. Society for Vascular Surgery/International Society for Cardiovascular Surgery.

    Journal of vascular surgery·1993

    Area of Science:

    • Vascular Surgery
    • Gastroenterology
    • Surgical Outcomes

    Background:

    • Cholelithiasis (gallstones) is frequently identified during abdominal aortic reconstruction.
    • Simultaneous cholecystectomy is often avoided due to concerns about graft contamination.
    • Gallstone complications are well-documented following aortic reconstruction.

    Purpose of the Study:

    • To evaluate the safety and necessity of simultaneous cholecystectomy during abdominal aortic reconstruction in patients with cholelithiasis.
    • To assess the incidence of gallstone-related complications in patients who did not undergo immediate cholecystectomy.

    Main Methods:

    • Retrospective review of 250 patients undergoing abdominal aortic reconstruction.
    • Analysis of 50 patients with identified cholelithiasis.
    • Comparison of outcomes for patients undergoing simultaneous cholecystectomy, prior cholecystectomy, or no cholecystectomy.

    Main Results:

    • 16 patients underwent simultaneous cholecystectomy with no related morbidity.
    • 9 of 17 patients who deferred cholecystectomy developed gallstone-related complications post-reconstruction.
    • 6 of 8 patients followed long-term without cholecystectomy remained asymptomatic, but 2 became symptomatic.

    Conclusions:

    • Simultaneous cholecystectomy in patients with cholelithiasis undergoing aortic reconstruction is a safe and effective strategy.
    • Delaying cholecystectomy increases the risk of post-operative gallstone complications.
    • Cholecystectomy is advised for patients with cholelithiasis undergoing aortic reconstruction unless specific contraindications exist.

    Related Experiment Videos