Safety of Laparoscopic Cholecystectomy in Patients Having Cardiovascular Dysfunction: A Cross-Sectional Study

Abstract

Aim: To assess the safety of laparoscopic cholecystectomy in patients having cardiovascular dysfunction.

Study design: A cross-sectional study

Place and Duration: This study was conducted at Bolan Medical Complex Hospital Quetta Pakistan from April 2020 to April 2021.

Methodology: The current study involved 80 participants having cardiovascular dysfunction and who had undergone laparoscopic cholecystectomy. Their demographic data and details before and after surgical procedures were recorded and assessed. Transthoracic echocardiography and resting ECG were performed to conduct an assessment before surgery. All the patients were grouped according to the functional classification by New York Heart Association (NYHA) and only those patients were included in the study who belonged to groups II and III.

Results: It was observed that 30 patients belonged to grade II NYHA, and 10 patients belonged to grade III NYHA, and the male to female ratio was 21:7. By transthoracic echocardiography 13 patients had an ejection fraction of 20-30%, whereas 15 patients had an ejection fraction of 30-40%. The most common problem faced by surgeons during surgery was persistent hypertension observed in 3 patients which were brought back to normal by infusing GTN.

Conclusion: The current study exhibited that laparoscopic cholecystectomy can be safely performed in patients having cardiac disorders.