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.
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.
Authors: Yuichi Yamashita; Tadahiro Takada; Yoshifumi Kawarada; Yuji Nimura; Masahiko Hirota; Fumihiko Miura; Toshihiko Mayumi; Masahiro Yoshida; Steven Strasberg; Henry A Pitt; Eduardo de Santibanes; Jacques Belghiti; Markus W Büchler; Dirk J Gouma; Sheung-Tat Fan; Serafin C Hilvano; Joseph W Y Lau; Sun-Whe Kim; Giulio Belli; John A Windsor; Kui-Hin Liau; Vibul Sachakul Journal: J Hepatobiliary Pancreat Surg Date: 2007-01-30