engleski

Short term follow-up of laparoscopic cholecystectomy after the TRAM recontruction after mastectomy for breast carcinoma

Background Laparoscopic cholecystectomy (LC) is the procedure of choice for symptomatic gallstones because it is both beneficial and cost effective. With the improvement of technical skills, the list of contraindications have decreasing. Case report We present a case of LC for symptomatic gallstones 2 years after the transverse rectus abdominis musculocutaneous (TRAM) reconstruction as a method for breast reconstruction after mastectomy for breast carcinoma. Pneumoperitoneum was created with Veress needle and other three trocars were introduced typically for European position. Standard LC was performed and postoperative course was uneventful without incisional hernia at 6- month follow up. Conclusion Anatomic changes following TRAM reconstructions create potentially hazardous intra- and postoperative problems in patients requiring LC. There are three cases of post TRAM LC and two open cholecystectomies published without long term follow-up. We describe several methods for minimizing possible abdominal wall impairment and complications after LC. Also previous extensive abdominal wall procedures could be an indication for NOTES cholecystectomy due to avoidance of additional abdominal wall trauma

brest cancer, mastectomy, TRAM recontruction, laparoscopic cholecystectomy

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