Laparoscopic cholecystectomy for cholelithiasis in a patient with myotonic dystrophy.
Myotonic dystrophy (DM) is a rare autosomal dominant inherited neuromuscular disease involving several systems. The anesthetic method of choice remains uncertain. The risk of perioperative complications, particularly pulmonary and cardiac complications, in these patients is of major concern. We report on a 16-year-old female patient with DM type 1 undergoing laparoscopic cholecystectomy for symptomatic cholelithiasis, who had a smooth, uncomplicated recovery. Laparoscopic cholecystectomy is feasible and safe in patients with DM but requires individual multidisciplinary perioperative management.
Markogiannakis
Haridimos
H
1st Department of Propaedeutic Surgery, Athens Medical School, University of Athens, Hippocration Hospital, Athens, Greece. markogiannakis@yahoo.com
Skalistira
Maria
M
Georgiou
Lukas
L
Louizos
Antonios
A
Leandros
Emmanuel
E
D000293:Adolescent; D017081:Cholecystectomy, Laparoscopic; D041761:Cholecystolithiasis / Q000453:epidemiology* / Q000601:surgery*; D015897:Comorbidity; D005260:Female; D006801:Humans; D009223:Myotonic Dystrophy / Q000453:epidemiology*