Coşkun Halil, Hasbahçeci Mustafa, Bozkurt Süleyman, Çipe Gökhan, Malya Fatma Ümit, Memmi Naim, Karatepe Oğuzhan, Akçakaya Adem, Müslümanoğlu Mahmut
Turk J Gastroenterol. 2014 Dec;25(6):624-7. doi: 10.5152/tjg.2014.6954.
BACKGROUND/AIMS: To study the effect of selective concomitant cholecystectomy (SCC) on laparoscopic sleeve gastrectomy (LSG).
A retrospective case-control study of 16 morbidly obese patients treated with concomitant LSG as the primary bariatric surgery and SCC for proven gallbladder (GB) pathology (Group A) between November 2010 and February 2013 was performed. Randomly selected 32 patients who underwent laparoscopic sleeve gastrectomy was the control group (Group B).
A total of 48 patients with a mean age of 35.5±10.7 years were included. Demographic data of groups were similar except that there were more female patients in the Group A (p=0.036). Mean body mass index (kg/m2) was 51.1±5.6 and 50.9±5.4 in Groups A and B, respectively (p=0.894). The mean operative time for patients with and without cholecystectomy was 157.2±40 and 95.72±6.2 min, respectively (p=0.001). Cholecystectomy resulted in an additional mean operative time of 49.1±27.9 min without any specific complication. There was no statistical difference with regard to overall morbidity (p=0.316) and the length of hospital stay (p=0.528) between groups.
Although an increase in operative time may be an important issue, SCC can be performed on all patients with proven GB pathology during LSG without an increase in morbidity or length of hospital stay.
背景/目的：研究选择性同期胆囊切除术（SCC）对腹腔镜袖状胃切除术（LSG）的影响。
对2010年11月至2013年2月期间16例病态肥胖患者进行回顾性病例对照研究，这些患者接受同期LSG作为主要减肥手术，并因确诊胆囊（GB）病变而接受SCC（A组）。随机选取32例行腹腔镜袖状胃切除术的患者作为对照组（B组）。
共纳入48例患者，平均年龄35.5±10.7岁。两组的人口统计学数据相似，但A组女性患者更多（p = 0.036）。A组和B组的平均体重指数（kg/m²）分别为51.1±5.6和50.9±5.4（p = 0.894）。有胆囊切除术和无胆囊切除术患者的平均手术时间分别为157.2±40分钟和95.72±6.2分钟（p = 0.001）。胆囊切除术导致平均额外手术时间为49.1±27.9分钟，且无任何特定并发症。两组在总体发病率（p = 0.316）和住院时间（p = 0.528）方面无统计学差异。
尽管手术时间增加可能是一个重要问题，但在LSG期间，所有确诊GB病变的患者均可进行SCC，且不会增加发病率或住院时间。
