Surgical Research

Open Access ISSN: 2689-1093


Prophylactic Cholecystectomy During Laparoscopic Sleeve Gastrectomy in Morbidly Obese Patients: Presentation of Our Series and Review of The Literature

Authors: Christos Parianos, Chrysanthi Aggeli, Konstantinos Pateas, Margaris I.

The management of gallstones at the time of laparoscopic sleeve gastrectomy is under debate. We report our experience in the treatment of patients with morbid obesity and cholelithiasis with or without symptoms. Laparoscopic sleeve gastrectomy was performed in 306 patients between 2009 and 2019. Patients with cholelithiasis underwent concomitant cholecystectomy. We collected information on age, gender, BMI and operative time. In addition, we
noted any complications, the length of hospital stay and the incidence of symptomatic disease in patients after sleeve gastrectomy. Cholelithiasis was detected preoperatively in 41 patients. Only 18 of these patients had symptomatic cholelithiasis. Laparoscopic cholecystectomy was combined in 36 patients. Four patients developed cholelithiasis after the weight loss and underwent laparoscopic cholecystectomy at that time. Laparoscopic cholecystectomy during laparoscopic sleeve gastrectomy is safe and prevents possible postoperative events of cholecystitis.

View/Download pdf