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A Technique for Simultaneous Cholecystectomy During Bariatric Surgery

Title
A Technique for Simultaneous Cholecystectomy During Bariatric Surgery
Author
정민성
Keywords
Cholecystectomy; Glissonian approach; Morbid obesity
Issue Date
2015-10
Publisher
SOC LAPAROENDOSCOPIC SURGEONS
Citation
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS, v. 19, NO 4, e2015.00072
Abstract
Background and Objectives: Cholecystectomy performed during bariatric surgery is technically demanding. Herein is described a technique we term the Glissonian approach along with an evaluation of its effectiveness and safety. Methods: From April 1, 2009, through February 28, 2014, laparoscopic cholecystectomy was performed during laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) in 38 patients with proven cholecystopathy on diagnostic imaging. Perioperative outcomes were compared between the patients operated on with the Glissonian approach and those who underwent conventional laparoscopic cholecystectomy. Results: The Glissonian approach was adopted in 13 patients-11 during LRYGB and 2 during LSG- and the conventional operation was performed on 16 patients during LRYGB and 9 during LSG. Mean body mass indexes were 40.1 kg/m(2) in the Glissonian-approach group and 37.6 kg/m(2) in the conventional group. Laparoscopic cholecystectomy by the Glissonian approach saved a mean operative time of 7 minutes compared with the operative time of the conventional operation. No surgical complications related to cholecystectomy were noted in either group. Conclusion: This simple technique can be performed safely in morbidly obese patients, with low resultant morbidity and acceptable operation times.
URI
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4653580/http://hdl.handle.net/20.500.11754/28449
ISSN
1086-8089
DOI
10.4293/JSLS.2015.00072
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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