IS CONCOMITANT LAPAROSCOPIC CHOLECYSTECTOMY AND SLEEVE GASTRECTOMY A FEASIBLE AND SAFE PROCEDURE? A CASE CONTROL STUDY

Document Type : Preliminary preprint short reports of original research

Authors

1 Hepatobiliarypancreatic unit, Surgery department, Faculty of medicine, Alexandria university

2 Hepatobiliary pancreatic unit, Surgery department , Faculty of medicine, Alexandria university

3 Lecturer of experimental and clinical surgery Medical research Institute University of Alexandria

Abstract

INTRODUCTION
Obesity has become an epidemic worldwide condition. The mainstay of management for morbid obesity is bariatric surgery (BS)..The most popular one is sleeve gastrectomy (LSG) as it simple operation, maintaining of normal food pathway through the digestive tract with a lack of a mal-absorptive component , absence of anastomoses and the short and mid-term weight loss results are promising .The prevalence of gallbladder disease and stone-related complications increases with obesity. Laparoscopic cholecystectomy (LC) during bariatric surgeries may be technically challenging due to suboptimal port insertion and difficult body habitus. Regarding the management of GB during bariatric surgery, there are several approaches including selective concomitant cholecystectomy only for GB pathologies detected pre- or intra-operatively. Some surgeons prefer performing prophylactic cholecystectomy for all obese patients. Others prefer conventional cholecystectomy only for symptomatic gallstones developed after the bariatric surgery. (7)some surgeons claim that concomitant cholecystectomy is associated with longer operation time, prolonged hospital stay and higher complication rates.
AIM OF THE WORK

The aim of this prospective case control study is to evaluate the feasibility and safety of concomitant Laparoscopic Cholecystectomy and Sleeve Gastrectomy for morbidly obese patients with chronic calcular cholecystitis.

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