Cholecystectomy Concomitant with Bariatric Surgery: Safety and Metabolic Effects

Lucena, Anna Victória Soares de; Cordeiro, Gabriel Guerra; Leão, Luís Henrique A; Kreimer, Flávio; Siqueira, Luciana Teixeira de; Sousa, Guilherme da Conti Oliveira; Lucena, Luiz Henrique Soares de; Ferraz, Álvaro Antônio Bandeira

doi:10.1007/s11695-022-05889-1

Cited by 6 publications

(2 citation statements)

References 46 publications

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“…The study with large series concluded that concomitant laparoscopy performed by experienced experts during obesity surgery may prevent future complications associated with gallbladder stones [12,13].…”

Section: Discussionmentioning

confidence: 99%

Bile Leakage From the Luschka Duct After Laparoscopic Sleeve Gastrectomy and Cholecystectomy: A Case Report

Huseynov¹,

Aliyev²,

Coban³

2023

Cureus

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Bile leakage may develop as a result of traumatic or iatrogenic injuries of bile ducts during laparoscopic cholecystectomy (LC). The frequency of Luschka duct injuries during LC is extremely rare. In this case, we present a case of bile leakage due to Luschka duct injury during sleeve gastrectomy (SG) and LC. The leakage was not noticed during the surgery, and on postoperative day 2, bilious drainage was seen from the drain. Magnetic resonance imaging (MRI) was helpful to determine Luschka duct injury. Biliary leakage resolved after endoscopic retrograde cholangiopancreatography (ERCP) with stent placement.

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Section: Discussionmentioning

confidence: 99%

Bile Leakage From the Luschka Duct After Laparoscopic Sleeve Gastrectomy and Cholecystectomy: A Case Report

Huseynov¹,

Aliyev²,

Coban³

2023

Cureus

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“…Despite some surgeons making decisions based on the presence of a hiatal hernia and preferring bypass surgeries when a hiatal hernia is observed via endoscopy, the tendency of some bariatric surgeons is to perform LSG with hiatal hernia repair during the same operation. Few studies have evaluated whether laparoscopic cholecystectomy is safe when performed at the same time, and although hiatal hernia repair is safe, there is controversy about its long-term effects on gastroesophageal reflux [27,28,29,30,31]. In our study, laparoscopic cholecystectomy was performed simultaneously with LSG in 3.6% of patients, hiatal hernia repair was performed simultaneously with LSG in 4.2% of patients, and both methods were performed simultaneously with LSG in 0.2% of patients (Table 3).…”

Section: Comparison Of the Omentopexy And Control Groupsmentioning

confidence: 99%

Efficacy of Omentopexy on Complications of Laparoscopic Sleeve Gastrectomy

Kara,

Ozel,

Yardimci

2024

OBES SURG

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Background Laparoscopic sleeve gastrectomy (LSG) is a commonly performed type of bariatric surgery. Early complications of LSG include bleeding, leakage, pulmonary embolism, and surgical site infections. Most surgeons try to implement preventive methods, such as omentopexy. Staple line-imbrication, which has a difficult learning curve, often prevents complications. This study aimed to evaluate the effect of omentopexy on patients with imbricated LSG. Material and Methods The study applied a retrospective data analysis design to patients who underwent LSG between 2020 and 2023. All patients’ staple lines were imbricated, and patients were then divided into two groups: omentopexy group and control group. Patients’ demographic features, such as age, gender, height, weight, body mass index(BMI), bleeding, leakage, and reoperations, were recorded and examined retrospectively. Results A total of 1356 patients were included in the study (540 in omentopexy, 816 in control), of which the mean age was 37.9 ± 10.5 years, 82.3% were women, and mean BMI was 40.9 ± 5.8 kg/m2. The mean bleeding rate was 1.0% (1.3–0.7%), the mean leakage rate was 0.2% (0.2–0.2%, respectively), and the mean reoperation rate was 0.6% (0.7% and 0.5%, respectively). No statistically significant differences were observed. Conclusion Omentopexy is a technique that is widely used to prevent staple line complications. According to our study, omentopexy applied to an imbricated stapler line increased the operation time but did not affect bleeding or leakage ratios. This is the first study to evaluate the effect of omentopexy on imbricated staple lines. The findings of the study indicate that omentopexy has no additional benefit on early complications when using staple-line imbrication. Graphical Abstract

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The Management of Biliary Disease in Patients with Severe Obesity Undergoing Metabolic and Bariatric Surgery—An International Expert Survey

Kermansaravi,

Shikora,

Dillemans

et al. 2024

OBES SURG

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Cholecystectomy Concomitant with Bariatric Surgery: Safety and Metabolic Effects

Cited by 6 publications

References 46 publications

Bile Leakage From the Luschka Duct After Laparoscopic Sleeve Gastrectomy and Cholecystectomy: A Case Report

Bile Leakage From the Luschka Duct After Laparoscopic Sleeve Gastrectomy and Cholecystectomy: A Case Report

Efficacy of Omentopexy on Complications of Laparoscopic Sleeve Gastrectomy

The Management of Biliary Disease in Patients with Severe Obesity Undergoing Metabolic and Bariatric Surgery—An International Expert Survey

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