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Treatment of acute cholecystitis after cardiovascular surgery
Author(s) -
Ueno Kimihiko,
Ajiki Tetsuo,
Tsugawa Daisuke,
Akita Masayuki,
Hashimoto Yu,
Terai Sachio,
Tanaka Motofumi,
Toyama Hirochika,
Kido Masahiro,
Fukumoto Takumi
Publication year - 2019
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.672
Subject(s) - medicine , cholecystitis , acute cholecystitis , pathological , surgery , incidence (geometry) , gallbladder , mortality rate , gastroenterology , anesthesia , physics , optics
Background Acute cholecystitis (AC) after cardiovascular surgery (CS) tends to have a serious postoperative course; however, there are few reports of AC after CS. In this study, we investigated the clinical features of AC after CS. Method Of 26 patients who underwent surgery for AC after CS between 2001 and 2018 were investigated. Of these patients, the severity of AC, onset time, surgical outcomes, and postoperative pathological findings were evaluated. Results Grade III accounted for 46% (12/26) of the AC after CS patients. Gallbladder drainage did not produce sufficient outcomes in all CS cases. The postoperative hospital days of AC after CS were extended (31/21 days, P = 0.07) and the postoperative pathologic findings revealed a higher rate of gangrenous cholecystitis (88/41%, P < 0.01) than the control group. With regard to the incidence of postoperative complications, there were no differences between CS and the control group (23/24%). The mortality rate of AC after CS was 12%. Conclusion Because more than 80% of CS cases involved pathologically gangrenous cholecystitis, it may be necessary to perform early surgery for AC after CS, even when the severity of AC is Grade III.