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[Laparoscopic cholecystectomy after myocardial revascularization using the gastro-epiploic artery]
1Clinique La Résidence du Parc, Marseille.
Insights
Coronary artery bypass graft surgery using the right gastro-epiploic artery may necessitate future laparoscopic cholecystectomy. Surgeons should exercise caution during abdominal procedures following this cardiac surgery.
Area of Science:
- Cardiovascular Surgery
- Gastrointestinal Surgery
- Surgical Case Reports
Background:
- Coronary artery bypass grafting (CABG) is a common cardiac procedure.
- The right gastro-epiploic artery is a frequently used graft in CABG.
- Postoperative complications can necessitate further surgical interventions.
Abstract:
The authors report the case of a man operated by coronary artery bypass graft using the right gastro-epiploic artery. Laparoscopic cholecystectomy had to be performed postoperatively because of cholecystitis. Surgeons must be aware of the possibility of coeliotomy in the context of coronary artery surgery: this is a small incision, the sternotomy incision is only slightly lengthened towards the epigastrium. A history of such surgery requires certain precautions during subsequent abdominal incisions, particularly laparoscopic, and during dissection of the porta hepatis.