title: Laparoscopic cholecystectomy and open-heart surgery at the same time.
abstract: BACKGROUND
  Abdominal procedures in patients with coronary artery disease or severe valvular disease have high risk of mortality and morbidity.
  
  
  OBJECTIVE
  In order to prevent bile peritonitis after cardiac surgery, to reduce the hospitalization course, and to decrease the mortality and morbidity after the surgery, laparoscopic cholecystectomy and open-heart surgery were performed at the same time.
  
  
  METHODS
  Laparoscopic cholecystectomy and open-heart surgery were performed on two patients who had been referred to Cardiothoracic Ward of Modarres Hospital, Tehran, Iran.
  
  
  RESULTS
  Simultaneous classic laparoscopic cholecystectomy was successfully performed on two different open-heart patients, one with coronary artery disease for coronary artery bypass surgery and the other with severe mitral valve disorder for mitral valve replacement.
  
  
  CONCLUSIONS
  Abdominal procedures are suggested to be done with cardiac surgery at the same time with laparoscopic technique to reduce mortality and morbidity in these patients.
authors.affiliation: Cardiac Surgery Ward of Modarres Hospital, Beheshti University of Medical Sciences, Tehran, Iran. rezaei_nima@hbi.ir
authors.forename: Manouchehr
authors.initials: M
authors.lastname: Hekmat
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Taghipoor
authors.forename: Mohammad Rezvan
authors.initials: MR
authors.lastname: Nobahar
authors.forename: Mahmoud Beheshti
authors.initials: MB
authors.lastname: Monfared
authors.forename: Mohammad Masoud Majidi
authors.initials: MM
authors.lastname: Tehrani
authors.forename: Mohammad Kazem
authors.initials: MK
authors.lastname: Arabnia
authors.forename: Seyyed Ahmad
authors.initials: SA
authors.lastname: Hasantash
authors.forename: Ali-Mohammad Hallaj
authors.initials: AM
authors.lastname: Zadeh
authors.forename: Naser
authors.initials: N
authors.lastname: Kachoueian
authors.forename: Mahnoush
authors.initials: M
authors.lastname: Foroughi
authors.forename: Nima
authors.initials: N
authors.lastname: Rezaei
mesh_terms: D006348:Cardiac Surgical Procedures; D017081:Cholecystectomy, Laparoscopic; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D005260:Female; D042882:Gallstones / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000601:surgery*