Journals / Turkish Journal of Gastroenterology / 2014 / Cilt: 25 - Sayı: 6

Is concomitant cholecystectomy with laparoscopic sleeve gastrectomy safe?

Pages
624–627
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There was no statistical difference with regard to overall morbidity (p=0.316) and the length of hospital stay (p=0.528) between groups.Conclusion: Although an increase in operative time may be an important issue, SCC can be performed on all patients with proven GB pathology during LSG without an increase in morbidity or length of hospital stay.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background/Aims: To study the effect of selective concomitant cholecystectomy (SCC) on laparoscopic sleeve gastrectomy (LSG).Materials and Methods: A retrospective case-control study of 16 morbidly obese patients treated with concomitant LSG as the primary bariatric surgery and SCC for proven gallbladder (GB) pathology (Group A) between November 2010 and February 2013 was performed.
📊
Key Findings & Data:Randomly selected 32 patients who underwent laparoscopic sleeve gastrectomy was the control group (Group B).Results: A total of 48 patients with a mean age of 35.5±10.7 years were included.
💡
Conclusion & Impact:There was no statistical difference with regard to overall morbidity (p=0.316) and the length of hospital stay (p=0.528) between groups.Conclusion: Although an increase in operative time may be an important issue, SCC can be performed on all patients with proven GB pathology during LSG without an increase in morbidity or length of hospital stay.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Özet

Background/Aims: To study the effect of selective concomitant cholecystectomy (SCC) on laparoscopic sleeve gastrectomy (LSG).Materials and Methods: A retrospective case-control study of 16 morbidly obese patients treated with concomitant LSG as the primary bariatric surgery and SCC for proven gallbladder (GB) pathology (Group A) between November 2010 and February 2013 was performed. Randomly selected 32 patients who underwent laparoscopic sleeve gastrectomy was the control group (Group B).Results: A total of 48 patients with a mean age of 35.5±10.7 years were included. Demographic data of groups were similar except that there were more female patients in the Group A (p=0.036). Mean body mass index (kg/m2) was 51.1±5.6 and 50.9±5.4 in Groups A and B, respectively (p=0.894). The mean operative time for patients with and without cholecystectomy was 157.2±40 and 95.72±6.2 min, respectively (p=0.001). Cholecystectomy resulted in an additional mean operative time of 49.1±27.9 min without any specific complication. There was no statistical difference with regard to overall morbidity (p=0.316) and the length of hospital stay (p=0.528) between groups.Conclusion: Although an increase in operative time may be an important issue, SCC can be performed on all patients with proven GB pathology during LSG without an increase in morbidity or length of hospital stay.

🔖

Cite This Article

COŞKUN, H., HASBAHÇECİ, M., BOZKURT, S., ÇİPE, G., MALYA, F. Ü., MEMMİ, N., KARATEPE, O., AKÇAKAYA, A., MÜSLÜMANOĞLU, M. (2014). Is concomitant cholecystectomy with laparoscopic sleeve gastrectomy safe?. Turkish Journal of Gastroenterology, Cilt: 25 - Sayı: 6, 624–627. https://ajindex.com/articles/409541

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Worni M, Guller U, Shah A, Gandhi M, Shah J, Rajgor D, Pietrobon R, Jacobs DO, Ostbye T. Cholecystectomy concomitant with laparoscopic gastric bypass: a trend analysis of the nationwide inpatient sample from 2001 to 2008. Obes Surg 2012; 22: 220-9
  2. Li VK, Pulido N, Fajnwaks P, Szomstein S, Rosenthal R, MartinezDuartez P. Predictors of gallstone formation after bariatric surgery: a multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy. Surg Endosc 2009; 23: 1640-4
  3. D'Hondt M, Sergeant G, Deylgat B, Devriendt D, Van Rooy F, Vansteenkiste F. Prophylactic cholecystectomy, a mandatory step in morbidly obese patients undergoing laparoscopic Roux-en-Y gastric bypass? J Gastrointest Surg 2011; 15: 1532-6
  4. Tarantino I, Warschkow R, Steffen T, Bisang P, Schultes B, Thurnheer M. Is routine cholecystectomy justified in severely obese patients undergoing a laparoscopic Roux-en-Y gastric bypass procedure? A comparative cohort study. Obes Surg 2011; 21: 1870-8
  5. Quesada BM, Kohan G, Roff HE, Canullan CM, Chiappetta Porras LT. Management of gallstones and gallbladder disease in patients undergoing gastric bypass. World J Gastroenterol 2010; 16: 2075-9
  6. Nagem R, Lazaro-da-Silva A. Cholecystolithiasis after gastric bypass: a clinical, biochemical, and ultrasonographic 3-year followup study. Obes Surg 2012; 22: 1594-9
  7. Escalona A, Boza C, Munoz R, Perez G, Rayo S, Crovari F, Ibanez L, Guzman S. Routine preoperative ultrasonography and selective cholecystectomy in laparoscopic Roux-en-Y gastric bypass. Why not? Obes Surg 2008; 18: 47-51
  8. Benarroch-Gampel J, Lairson DR, Boyd CA, Sheffield KM, Ho V, Riall TS. Cost-effectiveness analysis of cholecystectomy during Rouxen-Y gastric bypass for morbid obesity. Surgery 2012; 152: 363-75. 9 Warschkow R, Tarantino I, Ukegjini K, Beutner U, Guller U, Schmied BM, Muller SA, Schultes B, Thurnheer M. Concomitant Cholecystectomy During Laparoscopic Roux-en-Y Gastric Bypass in Obese Patients Is Not Justified: A Meta-Analysis. Obes Surg 2013; 23: 397-407
  9. Li VK, Pulido N, Martinez-Suartez P, Fajnwaks P, Jin HY, Szomstein S, Rosenthal RJ. Symptomatic gallstones after sleeve gastrectomy. Surg Endosc 2009; 23: 2488-92
  10. Nougou A, Suter M. Almost routine prophylactic cholecystectomy during laparoscopic gastric bypass is safe. Obes Surg 2008; 18: 535-9
  11. Iglezias Brandao de Oliveira C, Adami Chaim E, da Silva BB. Impact of rapid weight reduction on risk of cholelith