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01-09-2011 | GI Image

Utility of Multidetector-Row Computed Tomography and Ultrasonography for Preoperative Planning in a Patient with a History of a Right Gastroepiploic Artery CABG undergoing a Laparoscopic Cholecystectomy

Authors: Yasushi Hashimoto, Takeshi Sudo, Kenichiro Uemura, Akira Nakashima, Shinya Takahashi, Kazumasa Orihashi, Taijiro Sueda, Yoshiaki Murakami

Published in: Journal of Gastrointestinal Surgery | Issue 9/2011

Abstract

Introduction

Laparoscopic cholecystectomy has become the standard procedure for acute cholecystitis.

Methods

This procedure, however, is challenging to perform in patients who have had coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA).

Results

We completed a laparoscopic cholecystectomy for acute cholecystitis without intraoperative or postoperative cardiac complications in a patient with a history of an RGEA CABG.

Conclusions

A critical factor for avoiding disruption to the graft was preoperatively delineating the vascular anatomy of the RGEA graft with a multidetector-row computed tomography (CT) with 3D-CT angiography and ultrasonography.

YamashitaY, Tadahiro T, Kawarada Y, Nimura Y, Hirota M, et al. Surgical treatment of patients with acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 2007; 14:91–97.PubMedCrossRef

Jarvinen HJ, Hastbacka J. Early cholecystectomy for acute cholecystitis: a prospective randomized study. Ann Surg 1980; 191:501–505.PubMedCrossRef

Norrby S, Herlin P, Holmin T, Sjodahl R, Tagesson C. Early or delayed cholecystectomy in acute cholecystitis? A clinical trial. Br J Surg 1983;70:163–165.PubMedCrossRef

Kotoh K, Fukahara K, Tsuda M, Tukada K, Misaki T. Abdominal surgery following coronary artery bypass grafting using an in situ right gastroepiploic artery graft. Ann Thorac Cardiovasc Surg 2004;10:97–100.PubMed

Suma H, Fukumoto H, Takeuchi A. Coronary artery bypass grafting by utilizing in situ right gastroepiploic artery: basic study and clinical application. Ann Thorac Surg 1987;44:394–397.PubMedCrossRef

Sakamoto K, Kitajima M, Okada T, Shirota S, Matsuda M, Watabe S, et al. Laparoscopic Cholecystectomy After Coronary Artery Bypass Grafting Using the Right Gastroepiploic Artery: Report of a Case. Surg Today 2002;32:840–843.PubMedCrossRef

Frenkel Y, Oelsner G, Ben-Baruch G, Mencrez J. Major surgical complications of laparoscopy. Eur J Obstet gynecol Reprod Biol 1981;12:107–111.PubMedCrossRef

Hasson HM. A modified instrument and method for laparoscopy. Am J Obstet Gynecol 1971;110:886–887.PubMed

Title: Utility of Multidetector-Row Computed Tomography and Ultrasonography for Preoperative Planning in a Patient with a History of a Right Gastroepiploic Artery CABG undergoing a Laparoscopic Cholecystectomy
Authors: Yasushi Hashimoto
Takeshi Sudo
Kenichiro Uemura
Akira Nakashima
Shinya Takahashi
Kazumasa Orihashi
Taijiro Sueda
Yoshiaki Murakami
Publication date: 01-09-2011
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 9/2011
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-011-1523-9

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Springer Medicine

Utility of Multidetector-Row Computed Tomography and Ultrasonography for Preoperative Planning in a Patient with a History of a Right Gastroepiploic Artery CABG undergoing a Laparoscopic Cholecystectomy

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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