[Abstract] [Full Text PDF] (in Japanese / 316KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 94(5): 530-533, 1993


Case report

CORONARY ARTERY BYPASS CRAFTING USING THE RIGHT GASTROEPIPLOIC ARTERY AND CHOLECYSTECTOMY
ーTWO EXPERIENCES OF SIMULTANEOUS OPERATIONー

Department of Cardiovascular Surgery, Koseiren Hiroshima General Hospital, Hiroshima, Japan

Tatsuya Nakao, Yasushi Kawaue

For two cases of cholelithiasis found before the coronary artery bypass grafting (CABG) using the right gastroepiploic artery (GEA), CABG and cholecystectomy were performed simultaneously, and favorable results were obtained. This mode of operations is very useful, being able to make use of GEA easily upon laparotomy, in addition to reduce the risks of surgical complications such as anesthetic accident, infection, etc. Further, both two cases had nearly no operative invasion by cholecystectomy related to either operative time, ingestion starting time or duration of hospital stay. Therefore, whenever cholelithiasis is found before CABG using GEA in the future, cholecystectomy shall be performed simultaneously.


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