Concomitant Cholecystectomy and Coronary Artery Bypass

Hitoshi Hirose, MD,1 Atsushi Amano, MD,2 and Akihito Takahashi, MD3

Introduction and Methods: Cholelithiasis is a common disorder which may be present with coronary artery disease. Concomitant cholecystectomy and coronary artery bypass grafting (CABG) was performed in selected patients and retrospective study was performed to verify the safety of the concomitant surgery.
Results: A total of 55 patients (41 males and 14 females, mean age 64.6±8.7 years) underwent concomitant cholecystectomy and CABG between 1992 and 2001 at the Shin-Tokyo Hospital Group. Exclusion from concomitant surgery was choledocholithiasis and/or acute cholecystitis. Cholecystectomy was performed via an upper abdominal incision extending the mid-sternal incision. In 48 patients (87.3%), the gastroepiploic artery (GEA) was used for coronary revascularization. The mean number of bypass grafts was 3.6±1.2. The mean operative time, intubation period, ICU stay, and postoperative hospital stay were 376 minutes, 15.6 hours, 3.9 days, and 23.0 days, respectively. Postoperative feeding was resumed 1 day after extubation. No intra-abdominal complications, delays in feeding, abdominal wound complications or postoperative bowel obstruction were observed.
Conclusions: Concomitant surgery of cholecystectomy and CABG did not increase the postoperative complications, and it is a feasible procedure of choice. (Ann Thorac Cardiovasc Surg 2002; 8: 358-358)

Key words: coronary artery bypass, cholecystectomy

From 1Department of Cardiovascular Surgery, Kobari General Hospital, Chiba, 2Department of Cardiovascular Surgery, Yokohama City Northern Hospital, Kanagawa, and 3Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Chiba, Japan

Received April 19, 2002; accepted for publication August 27, 2002
Address reprint requests to Hitoshi Hirose, MD: 2300 Overlook Rd, Cleveland, OH 44106, USA. (Current affiliation: Department of Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH) The abstract was presented at the 5th World Congress of Int