Colecistectomia laparoscopică la pacient cu pacemaker

Istrati Valeriu; Bour Alin; Leşco Andrei; Gligor Vladimir; Enache Nicolae; Demian Ina

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2022-02-22 19:39

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ISTRATI, Valeriu, BOUR, Alin, LEŞCO, Andrei, GLIGOR, Vladimir, ENACHE, Nicolae, DEMIAN, Ina. Colecistectomia laparoscopică la pacient cu pacemaker. In: Analele Ştiinţifice ale USMF „N. Testemiţanu”, 2008, nr. 4(9), pp. 41-43. ISSN 1857-1719.

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Analele Ştiinţifice ale USMF „N. Testemiţanu”

Numărul 4(9) / 2008 / ISSN 1857-1719

Colecistectomia laparoscopică la pacient cu pacemaker

Pag. 41-43

Istrati Valeriu, Bour Alin, Leşco Andrei, Gligor Vladimir, Enache Nicolae, Demian Ina

Spitalul Clinic Militar Central

Disponibil în IBN: 16 decembrie 2013

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Efectuarea colecistectomiei laparoscopice cu utilizarea electrocauterizării la pacient cu litiază biliară veziculară, purtător de cardiostimulator (Pacemaker), în timpul căreia interferenţa curenţilor electrici putea conduce la dereglare de ritm a cordului. Indicaţiile pentru colecistectomia laparoscopică aveau caracter dublu: 1- necesitatea în intervenţia cardiologică repetată de schimbare a valvulei aortice, care a provocat o anemie cronică cauzată de distrugerea eritrocitelor; 2- accesele frecvente de colică biliară, care subminau preconizata intervenţie cardiologică de schimbare a valvulei aortale” killer „ de eritrocite.

The article represents the clinical case of laparoscopic gallbladder removal performed on patient with pacemaker. Using of surgical electrocautary may potentially induce electric interferences with pacemaker. As a result, different types of cardiac arrhythmias may appear. The laparoscopic cholecystectomy has been indicated in accordance with: 1. Requirements for the aortic valve replacement due to „erythrocyte killer” effect; 2. Numerous outbreaks of „gallstone” disease, which caused the holdup of the cardiac surgery.

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