دورية أكاديمية
أعرض في EDS

Sleeve Gastrectomy and Cholecystectomy are Safe in Obese Patients with Asymptomatic Cholelithiasis. A Multicenter Randomized Trial.

التفاصيل البيبلوغرافية
العنوان: Sleeve Gastrectomy and Cholecystectomy are Safe in Obese Patients with Asymptomatic Cholelithiasis. A Multicenter Randomized Trial.
المؤلفون: Habeeb TAAM; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt. tameralnaimy@hotmail.com., Kermansaravi M; Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool-E Akram Hospital, Iran University of Medical Sciences, Tehran, Iran., Giménez ME; Department of General and Minimally Invasive Surgery, University of Buenos Aires, Buenos Aires, Argentina., Manangi MN; Department of General Surgery, Bangalore Medical College and Research Institute, Bengaluru, India., Elghadban H; Department of General Surgery, Mansoura University, Mansoura, Egypt., Abdelsalam SA; Family Medicine Department-Faculty of Medicine, Zagazig University, Zagazig, Egypt., Metwalli AM; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt., Baghdadi MA; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt., Sarhan AA; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt., Moursi AM; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt., El-Taher AK; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
المصدر: World journal of surgery [World J Surg] 2022 Jul; Vol. 46 (7), pp. 1721-1733. Date of Electronic Publication: 2022 Apr 10.
نوع المنشور: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: United States NLM ID: 7704052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-2323 (Electronic) Linking ISSN: 03642313 NLM ISO Abbreviation: World J Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, Springer International.
مواضيع طبية MeSH: Cholecystectomy, Laparoscopic*/adverse effects , Gallstones*/complications , Gallstones*/surgery , Laparoscopy*/adverse effects , Obesity, Morbid*/complications , Obesity, Morbid*/surgery, Cholecystectomy/adverse effects ; Gastrectomy/adverse effects ; Humans ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Retrospective Studies
مستخلص: Background: Obesity is a severe health problem. Gallstones may symptomatize after sleeve gastrectomy (SG). Concomitant laparoscopic cholecystectomy (LC) with SG is controversial. The effects of SG and LC versus delayed LC following SG in obese patients with asymptomatic gallbladder stones were evaluated.
Methods: A randomized trial of 222 morbidly obese patients with gallbladder stones divided them into two equal groups: SG + LC and SG-only. This multicenter study conducted from January 2016 to January 2019.
Results: Except for operative time and postoperative hospital stay, there was no statistically significant difference between LSG + LC group and SG group (P < 0.001). In SG + LC group, LC added 40.7 min to SG, three patients (3%) required conversion, early postoperative complications occurred in 9 cases (9/111, 9%), three cases required re-intervention (3%). In SG group, the complicated cases required LC were 61 cases (61/111, 55%). Acute cholecystitis (26/61, 42.7%) was the most common gallstone symptoms. Most complicated cases occurred in the first-year follow-up (52/61, 85%). In the delayed LC group (61 patients), operative time was 50.13 ± 1.99 min, open conversion occurred in 2 cases (2/61, 3.2%), early postoperative complications occurred in four patients (4/61, 6.4%) and postoperative re-intervention were due to bile leaks and cystic artery bleeding (2/61, 3.2%).
Conclusions: SG with LC prolongs the operative time and hospital stay, but the perioperative complications are the same as delayed LC; LC with SG minimizes the need for a second surgery. Concomitant LC with SG is safe.
(© 2022. The Author(s).)
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تواريخ الأحداث: Date Created: 20220410 Date Completed: 20220609 Latest Revision: 20220803
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9174306
DOI: 10.1007/s00268-022-06557-2
PMID: 35397750
قاعدة البيانات: MEDLINE
الوصف
تدمد:1432-2323
DOI:10.1007/s00268-022-06557-2