title: Postoperative outcomes with cholecystectomy in lung transplant recipients.
abstract: BACKGROUND
  There is a paucity of data on outcomes for lung transplant (LT) recipients requiring general surgery procedures. This study examined outcomes after cholecystectomy in LT recipients using a large database.
  
  
  METHODS
  The National Inpatient Sample Database (2005-2010) was queried for all LT patients requiring laparoscopic cholecystectomy (LC) and open cholecystectomy (OC).
  
  
  RESULTS
  There were a total of 377 cholecystectomies performed in LT patients. The majority were done for acute cholecystitis (n = 218; 57%) and were done urgently/emergently (n = 258; 68%). There were a total of 304 (81%) laparoscopic cholecystectomies and 73 (19%) OC. There was no difference in age when comparing the laparoscopic and open groups (53.6 vs 55.5 years; P = .39). In addition, the Charlson Comorbidity Index was similar in the 2 groups (P = .07). Patients undergoing OC were more likely to have perioperative myocardial infarction, pulmonary embolus, or any complication compared with the laparoscopic group. Total hospital charges ($59,137.00 vs $106,329.80; P = .03) and median duration of stay (4.0 vs 8.0 days; P = .02) were both greater with open compared with LC.
  
  
  CONCLUSIONS
  Cholecystectomy can be performed safely in the LT population with minimal morbidity and mortality.
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA. Electronic address: Sharven.Taghavi@tuhs.temple.edu.
authors.forename: Sharven
authors.initials: S
authors.lastname: Taghavi
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Vishnu
authors.initials: V
authors.lastname: Ambur
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Senthil N
authors.initials: SN
authors.lastname: Jayarajan
authors.affiliation: Biostatistics Consulting Center, Temple University School of Medicine, Philadelphia, PA.
authors.forename: John
authors.initials: J
authors.lastname: Gaughan
authors.affiliation: Department of Cardiac Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Yoshiya
authors.initials: Y
authors.lastname: Toyoda
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Dauer
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Lars Ola
authors.initials: LO
authors.lastname: Sjoholm
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Abhijit
authors.initials: A
authors.lastname: Pathak
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Santora
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Goldberg
authors.affiliation: Department of Surgery, Temple University School of Medicine, Philadelphia, PA.
authors.forename: Joseph
authors.initials: J
authors.lastname: Rappold
mesh_terms: D000328:Adult; D000368:Aged; D002763:Cholecystectomy; D017081:Cholecystectomy, Laparoscopic; D016208:Databases, Factual; D005260:Female; D005705:Gallbladder Diseases / Q000601:surgery*; D006801:Humans; D016015:Logistic Models; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D016896:Treatment Outcome