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Safety and efficacy of simultaneous cholecystectomy at Roux-en-Y gastric bypass
Abstract
Background To date, published reports have shown an increased length of hospital stay and increased morbidity for patients undergoing simultaneous cholecystectomy during Roux-en-Y gastric bypass (RYGB). We hypothesized that our experience would not show such adverse outcomes. Methods All RYGB procedures (n = 752) performed by 1 surgeon at our institution from 1995 to 2006 were reviewed for demographic data, operative data, and postoperative outcomes. A laparoscopic approach (LRYGB) was used for 438 procedures. The data from a prospectively gathered institutional database were retrospectively compared using standard statistical analysis. Results Comparing LRYGB with cholecystectomy to LRYGB without cholecystectomy, the operative time was significantly longer (198.4 +/- 61.9 versus 177.7 +/- 57.7 min, P = .001), but the mean hospital stay (3.3 +/- 5.5 versus 2.9 +/- 6.1 d, P = .555), postoperative complication rate (18.3% versus 18.5%, P = .100), and postoperative mortality (0% and .6%, P = 1.000) were not different between the 2 groups. Comparing the open RYGB patients with and without simultaneous cholecystectomy, the operative time was similarly longer (223.4 +/- 63.9 versus 203.5 +/- 57.3 min, P = .005), and the mean hospital stay (5.0 +/- 3.7 versus 4.7 +/- 5.9 d, P = .644), postoperative complication rate (61.4% versus 55.2%, P = .293), and postoperative mortality rate (1.6% versus 2.4%, P = .685) were not different between the 2 groups. Conclusion Although it took, on av…
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Concomitant cholecystectomy results in longer operation times, longer hospital stays, and higher complication rates.
“Studies have reported concomitant cholecystectomy to result in longer operation times, longer hospital stays, and higher complication rates [39,40].”
From Excess Body Weight and Gallstone Disease (2021) · cites this paper as [39]
Some studies have reported overall rates of gallstones after bariatric surgery up to 40%.
“some studies have reported overall rates of up to 40% [5678]”
From Prevention of Gallstones After Bariatric Surgery using Ursodeoxycholic Acid: A Narrative Review of Literatures (2022) · cites this paper as [5]
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Magouliotis, D. E., Tasiopoulou, V. S., Svokos, A. A., Svokos, K. A., Chatedaki, C., Sioka, E., & Zacharoulis, D. (2017) · Obesity Surgery · doi:10.1007/s11695-017-2924-y · Cited by 108
Excess Body Weight and Gallstone Disease
Stokes, C. S., & Lammert, F. (2021) · Visceral Medicine · doi:10.1159/000516418 · Cited by 58
Son, S.-Y., Song, J. H., Shin, H.-J., Hur, H., & Han, S.-U. (2022) · Journal of Metabolic and Bariatric Surgery · doi:10.17476/jmbs.2022.11.2.30 · Cited by 23
Metadata
- Authors
- Kim, J.-J., & Schirmer, B.
- Venue
- Surgery for Obesity and Related Diseases
- Publisher
- Elsevier BV
- Published
- 2009-01
- Volume
- 5
- Issue
- 1
- Pages
- 48-53
- ISSN
- 1550-7289
- Cited by
- 45
- References
- 0
- Language
- en
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