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Port-sharing techniques for laparoscopic cholecystectomy and sleeve gastrectomy.
- Source :
-
Surgery today [Surg Today] 2021 Dec; Vol. 51 (12), pp. 1996-1999. Date of Electronic Publication: 2021 May 19. - Publication Year :
- 2021
-
Abstract
- In Japan, the number of bariatric surgeries performed has remained low. Thus, concomitant laparoscopic cholecystectomy (LC) with laparoscopic sleeve gastrectomy (LSG) is still relatively uncommon, but is increasing. We developed new port-sharing techniques for LC and LSG, which we performed on 26 obese Japanese patients with gall bladder (GB) diseases, using the LSG trocar arrangement and one additional trocar. We performed LC first, and after exchanging a port for a liver retractor in the epigastrium, we then completed LSG. One patient with an anomalous extrahepatic bile duct required one additional port. The mean LC time was 55 min, and the transition to LSG just after LC was smooth in all the patients. One patient suffered postoperative intraperitoneal hemorrhage, which was managed conservatively. Concomitant LC with LSG using port-sharing techniques is feasible and safe for obese Japanese patients with GB diseases.<br /> (© 2021. Springer Nature Singapore Pte Ltd.)
- Subjects :
- Adult
Bariatric Surgery instrumentation
Cholecystectomy, Laparoscopic instrumentation
Feasibility Studies
Female
Gastrectomy instrumentation
Humans
Japan
Laparoscopy instrumentation
Male
Middle Aged
Safety
Bariatric Surgery methods
Cholecystectomy, Laparoscopic methods
Gallbladder Diseases complications
Gallbladder Diseases surgery
Gastrectomy methods
Laparoscopy methods
Obesity complications
Obesity surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1436-2813
- Volume :
- 51
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Surgery today
- Publication Type :
- Academic Journal
- Accession number :
- 34009434
- Full Text :
- https://doi.org/10.1007/s00595-021-02304-7