Case Report
급성담낭염을 동반한 복부대동맥류 환자에서 동시 시행한 복강경하담낭절제술과 혈관 내 복원술
Simultaneous Laparoscopic Cholecystectomy and Endovascular Abdominal Aortic Aneurysm Repair
Korean J Vasc Endovasc Surg 2012; 28(3): 155-158
Published August 30, 2012 https://doi.org/10.5758/kjves.2012.28.3.155
Copyright © The Korean Society for Vascular Surgery.
Abstract
Concomitant cholelithiasis and abdominal aortic aneurysm (AAA) is not uncommon. Cholecystectomy at the time of aneurysm repair was delayed in patients with asymptomatic cholelithiasis due to the possibility of the graft infection. If a patient is subjected to a high risk of aneurysmal rupture and symptomatic cholelithiasis, the combined cholecystectomy and aneurysm repair should be performed. With the advent of the minimally invasive surgery, minimal invasive approach is widely adopted in patients with cholelithiasis and AAA. We reported one patient who had symptomatic cholelithiasis and AAA, successfully treated with the laparoscopic cholecystectomy and endovascular AAA repair.
Keywords
복강경담낭절제술, 대동맥류, 복부, 혈관 내 시술
References
- Ouriel K, Ricotta JJ, Adams JT, Deweese JA. Management of cholelithiasis in patients with abdominal aortic aneurysm. Ann Surg 1983;198:717-719.
- Thomas JH, McCroskey BL, Iliopoulos JI, Hardin CA, Hermreck AS, Pierce GE. Aortoiliac reconstruction combined with nonvascular operations. Am J Surg 1983;146:784-787.
- String ST. Cholelithiasis and aortic reconstruction. J Vasc Surg 1984;1:664-669.
- Hugh TB, Masson J, Graham AR, Tracy GD. Combined gastrointestinal and abdominal aortic aneurysm operations. Aust N Z J Surg 1988;58:805-810.
- Fry RE, Fry WJ. Cholelithiasis and aortic reconstruction: the problem of simultaneous surgical therapy. Conclusions from a personal series. J Vasc Surg 1986;4:345-350.
- Fukunaga FH. Gallbladder bacteriology, histology, and gallstones. Study of unselected cholecystectomy specimens in Honolulu. Arch Surg 1973;106:169-171.
- Nishibe T, Kamikubo Y, Adachi A, Wakamatsu Y, Kudo F, Yasuda K. Concomitant abdominal aortic aneurysm repair and cholecystectomy: combination of retroperitoneal aortic reconstruction and gassless laparoscopic cholecystectomy. J Cardiovasc Surg (Torino) 2000;41:619-621.
- Williams GM, Ricotta J, Zinner M, Burdick J. The extended retroperitoneal approach for treatment of extensive atherosclerosis of the aorta and renal vessels. Surgery 1980;88:846-855.
- Shepard AD, Scott GR, Mackey WC, O’Donnell TF Jr, Bush HL, Callow AD. Retroperitoneal approach to high-risk abdominal aortic aneurysms. Arch Surg 1986;121:444-449.
- Hashimoto D, Nayeem SA, Kajiwara S, Hoshino T. Laparoscopic cholecystectomy: an approach without pneumoperitoneum. Surg Endosc 1993;7:54-56.
- Prinssen M, Verhoeven EL, Buth J, Cuypers PW, van Sambeek MR, Balm R, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med 2004;351:1607-1618.
- EVAR trial participants. Endovascular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1): randomised controlled trial. Lancet 2005;365:2179-2186.
- Cadot H, Addis MD, Faries PL, Carroccio A, Burks JA Jr, Gravereaux EC, et al. Abdominal aortic aneurysmorrhaphy and cholelithiasis in the era of endovascular surgery. Am Surg 2002;68:839-843.
- Franks SC, Sutton AJ, Bown MJ, Sayers RD. Systematic review and meta-analysis of 12 years of endovascular abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 2007;33:154-171.