M K Shaikh, K KAhuja, A H Pathan, A G Dars, N A Lashari, I Karim, SrRaza, B R Devrajani, M J Khetran
Aim: To evaluate the laparoscopic cholecystectomy in patients with cardiovascular diseases
Methods: The cross sectional study was led during July 2019 to December 2019 at tertiary care hospital. Patients with huge ischemic coronary illness were assessed by resting ECG and transthoracic echocardiography. They were accordingly accessed via cardiologist and surgeon. The patients were assembled by the New York Heart Association (NYHA) useful characterization framework. Laparoscopic cholecystectomy was performed promptly toward the beginning of the day following at least 4 hours of fasting. Course of action of impermanent pacing, defibrillator and pre-stacked life saving medications were kept prepared. Pulse, circulatory strain, oxygen immersion, ECG and end-flowing CO2 (ETCO2) were observed persistently. After the surgery, patients were firmly observed in the post-sedative consideration unit for 4 to 5 hrs. Majority were moved to the ward, while those with disturbed intra-operative procedure were moved to ICU for overnight perception. The intravenous liquid was preceded till the evening while oral intake was initiated following 4-5 hours and anticoagulants were begun according to criteria while all the information was saved and analyzed in SPSS
Results: Total fifty heart patients went through laparoscopic cholecystectomy at Liaquat university hospital. Of these, 22 patients gave history of ischaemic coronary illness, 05 patients had expanded cardiomyopathy, all around kept up on cardiovascular prescriptions, 15 had gone through coronary grafting while 27 patients had angioplasty and stenting previously. The mean age was 65 years (62.72±8.62) with male prevalence (70%). Transthoracic echocardiography showed a left ventricular launch part of 25-35% in 18 patients, while it was between 35-half in 12 patients. Likewise, echocardiography additionally got motion anomalies in 19, cardiomyopathy in 05 and related valvular illnesses in 05 patients. Around 10(20%) patients had history of heart mediation in past, co-morbides was distinguished in 35(70%) patients as asthma 10(20%), hypothyroidism 7(14%), persistent renal disappointment 3(6%), hypertension 40(80%), diabetes mellitus 30(60%), coronary detour uniting 12(24%), pacemaker 2(4%) and valve replacement 3(6%).
Conclusion: The current study showed that laparoscopic cholecystectomy might be securely acted in patients with critical heart illness.
Keywords: Laparoscopy, Cholecystectomy, Heart disease