Skip to main content
Log in

Cholecystectomy during Laparoscopic Gastric Bypass has No Effect on Duration of Hospital Stay

  • Published:
Obesity Surgery Aims and scope Submit manuscript

Background

Laparoscopic cholecystectomy can be safely performed at the time of laparoscopic Roux-en-Y gastric bypass (LRYGBP).This study was primarily conducted to examine whether there is any difference in the length of hospital stay and duration of operation in patients who undergo concomitant cholecystectomy with their LRYGBP. In addition, the frequency and nature of complications in the two groups were compared.

Methods

Retrospective chart analysis and comparison of 200 patients who underwent LRYGBP alone with 200 patients who underwent LRYGBP with simultaneous cholecystectomy.

Results

Concomitant cholecystectomy did not increase length of hospital stay (2.04 ± 0.20 days vs 2.06 ± 0.29 days in the LRYGBP alone group, P = 0.43). Furthermore, the addition of cholecystectomy only added an extra 29 minutes to the operation (P < 0.01). In both groups, there was no difference in the rate of postoperative complications (8.5% in both groups, P = 0.21), the nature of which was more or less equally distributed amongst the two groups.

Conclusion

Laparoscopic cholecystectomy performed at the time of LRYGBP does not alter length of hospital stay or frequency of postoperative complications and only adds an extra half hour to total operation time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Everhart JE. Contributions of obesity and weight loss to gallstone disease. Ann Intern Med 1993: 119: 1029–35.

    PubMed  CAS  Google Scholar 

  2. Amaral JF, Thompson WR. Gallbladder disease in the morbidly obese. Am J Surg 1985; 149: 551–7.

    Article  PubMed  CAS  Google Scholar 

  3. Shiffman ML, Sugerman Hl, Kellum JM et al. Gallstone formation after rapid weight loss: a prospective study in patients undergoing gastric bypass surgery for treatment of morbid obesity. Am J Gastroenterol 1991: 86: 1000–5.

    PubMed  CAS  Google Scholar 

  4. Fakhry SM, Herbst CA, Buckwalter JA. Cholecystectomy in morbidly obese patients. Am Surg 1987: 53: 26–8.

    PubMed  CAS  Google Scholar 

  5. Fobi M, Lee H, Igwe D et al. Prophylactic cholecystectomy with gastric bypass operation: Incidence of gallbladder disease. Obes Surg 2002: 12: 350–3.

    Article  PubMed  Google Scholar 

  6. Hamad GG, Ikramuddin S, Gourash WF et al. Elective cholecystectomy during laparoscopic Rouxen-Y gastric bypass: is it worth the wait? Obes Surg 2003;13: 76–81.

    Article  PubMed  Google Scholar 

  7. Sugerman HJ, Brewer WH, Shiffman ML et al. A multicenter, placebo-controlled, randomized, doubleblind, prospective trial of prophylactic ursodiol for the prevention of gallstone formation following gastric bypass induced rapid weight loss. Am J Surg 1995; 169: 91–6.

    Article  PubMed  CAS  Google Scholar 

  8. Wudel LJ, Wright JK, Debelak JP et al. Prevention of gallstone formation in morbidly obese patients undergoing rapid weight loss: results of a randomized controlled pilot study. J Surg Res 2002; 102:50–6.

    Article  PubMed  CAS  Google Scholar 

  9. Barkun AN, Rezieg M, Mehta SN et al. Postcholecystectomy biliary leaks in the laparoscopic era: risk factors, presentation, and management. McGill Gallstone Treatment Group. Gastrointest Endosc 1997; 45: 277–82.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ahmed R. Ahmed MD, BSc(Hons), FRCS (Gen Surg).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ahmed, A.R., O’Malley, W., Johnson, J. et al. Cholecystectomy during Laparoscopic Gastric Bypass has No Effect on Duration of Hospital Stay. OBES SURG 17, 1075–1079 (2007). https://doi.org/10.1007/s11695-007-9181-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11695-007-9181-4

Key words

Navigation