Cholecystectomy and heart transplantation

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Enrique J. Petracchi
Pablo A. Merchán del Hierro
Diego C. Chaktoura
Magalí Muthular
Nicolás F. Baglietto
Carlos M. Canullán


Background:The advances in perioperative care and immunosuppressive treatment resulted in a significant increase in survival of transplant patients; as a result, cholelithiasis is more common in transplant patients.
Objective: The aim of this study is to analyze and describe the results obtained in cholecystectomies in heart transplant patients.
Material and methods: We selected patients by cross-referencing the databases of heart transplantation and scheduled biliary surgeries, and collected information on their medical history, clinical parameters and laboratory tests, among other data.
Results: Between January 1994 and December 2017, 154 heart transplant procedures were performed; mean age was 40 years; 16 underwent laparoscopic cholecystectomy after heart transplantation and were included in this study. There were no complications, readmissions or deaths.
Conclusion: Laparoscopic cholecystectomy is safe and is the method of choice for heart transplant patients with cholelithiasis. Intraoperative cholangiography should be performed as the predictors of choledocholithiasis are usually abnormal.


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Petracchi, E. J., Merchán del Hierro, P. A., Chaktoura, D. C., Muthular, M., Baglietto, N. F., & Canullán, C. M. (2021). Cholecystectomy and heart transplantation. Revista Argentina De Cirugía, 113(2), 224–228.
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