Colecistectomia videolaparoscópica em paciente submetido a transplante cardíaco / Laparoscopic cholecystectomy in heart transplant patient
Rev. Col. Bras. Cir
;
27(5): 345-346, set.-out. 2000.
Article
in Portuguese
| LILACS
| ID: lil-508325
ABSTRACT
Cardiac transplant has been performed with an increased frequency as the treatment for end-stage cardiac disease. Although cholelithiasis is more frequent in both pretransplant and posttransplant patients, no standard management approach exists. Pretransplant patients are well recognized for cardiac events, and posttransplant immunossupressed patients are at a considerable risk for septic complications. Because the first presentation of gallstones in this population is often acute cholecystitis, asymptomatic calculi cannot be considered benign and it seems reasonable to recommend pretransplant screening and posttransplant surveillance for gallstones. Prophylatic laparoscopic cholecistectomy should be undertaken in the stable patient to avoid the substantial mortality associated with postoperative acute cholecystitis and urgent cholecystectomy. In this case report we present a 44 year-old male with acute cholecystitis after cardiac transplantation who was submitted to a safe laparoscopic cholecystectomy one year and seven months later.
Full text:
Available
Index:
LILACS (Americas)
Language:
Portuguese
Journal:
Rev. Col. Bras. Cir
Journal subject:
General Surgery
Year:
2000
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
PUC-PR/BR
/
SCMC-PR/BR
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