{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:13:58Z","timestamp":1788185638700,"version":"build-2803163510"},"reference-count":27,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2024,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with cardiogenic shock (CS) or heart failure can develop ischemic cholecystitis from a systemic low-flow state. Cholecystectomy in high-risk patients is controversial. Percutaneous cholecystostomy tube (PCT) is often the chosen intervention; however, data on PCT as definitive treatment are conflicting. Data on cholecystectomy in these patients are limited. This study discusses outcomes following laparoscopic cholecystectomy (LC) in this patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a retrospective review of patients who underwent LC from 2015 to 2019 while hospitalized for CS or heart failure. Surgical services are provided by fellowship-trained minimally invasive surgeons at a single, academic, tertiary-care center. Patient characteristics are reported as frequencies\u2019 percentages for categorical variables. Odds ratio is used to determine the association between comorbidities and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-four patients underwent LC. Around 83% were white and 79% were male. Many were anticoagulated (88%), with Class IV heart failure (63%), and required vasopressors (46%) at the time of surgery. Fourteen of 24 (58%) had at least one circulatory device at the time of surgery: extracorporeal membrane oxygenation, left ventricular assist device, Impella, tandem heart, and total artificial heart. Four patients (17%) had PCT preoperatively. Fifteen days were the average interval between diagnosis and surgery. Pneumoperitoneum was tolerated by all, and 0% converted to open. Most common complication was bleeding (52%). Nine patients (37.5%) underwent 21 reoperations, one of which (4%) was related to cholecystectomy. Mortality occurred in 5 patients (20.8%); interval between cholecystectomy and mortality ranged 6\u201330 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although high risk, LC is a treatment option in patients with ischemic cholecystitis at risk for death from sepsis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2024.0156","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T04:19:40Z","timestamp":1724300380000},"page":"829-835","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic Cholecystectomy in Cardiogenic Shock And Heart Failure"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4008-6505","authenticated-orcid":false,"given":"Laurel","family":"Gieseke","sequence":"first","affiliation":[{"name":"Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan","family":"Vonasek","sequence":"additional","affiliation":[{"name":"Department of Surgery, Banner University Medical Center Phoenix, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Lovato","sequence":"additional","affiliation":[{"name":"Department of Surgery, Banner University Medical Center Phoenix, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah","family":"Husain","sequence":"additional","affiliation":[{"name":"Department of Surgery, Banner University Medical Center Phoenix, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MacKenzie","family":"Landin","sequence":"additional","affiliation":[{"name":"Department of Surgery, Banner University Medical Center Phoenix, Phoenix, Arizona, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,9,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000485"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00075198-200304000-00008"},{"key":"e_1_3_4_4_2","first-page":"7201858","article-title":"Cystic artery: Morphological study and surgical significance","volume":"2016","author":"Dandekar U","year":"2016","unstructured":"Dandekar U, , Dandekar K. 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Microangiopathy in acute acalculous cholecystitis. Br J Surg, 1997; 84(9):1249\u20131252.","journal-title":"Br J Surg"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2019.11.025"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.516"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k3965"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.02.043"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12893-021-01411-z"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1159\/000520025"},{"issue":"10","key":"e_1_3_4_20_2","first-page":"708","article-title":"Is cholecystectomy the treatment of choice for acute acalculous cholecystitis? A systematic review of the literature","volume":"109","author":"Soria Aledo V","year":"2017","unstructured":"Soria Aledo V, , Galindo I\u00f1\u00edguez L, , Flores Funes D, et al. 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