CHOLECYSTCTOMY DURING LAPAROSCOPIC SLEEVE GASTRECTOMY IN MORBIDLY OBESE PATIENTS

Laparoscopic cholecystectomy (LC) in bariatric patients may be technically challenging due to suboptimal port placement and difficult body habitus, Often the gallbladder is engulfed by the large liver and is difficult to dissect laparoscopically. The aim of the study is to evaluate Concomitant cholecystectomy and LSG in 18 morbid obese patients with proven gall bladder pathology regarding the intra-operative and early short-term post-operative outcomes. The operative time ranged from 118 to 192 min. with mean duration 151.56 ? 21.11 min. time of cholecystectomy within same operations ranged from 34 to 62 min. with mean duration 47.72 ? 7.87 min. Most of surgeons preferred to start with sleeve gastrectomy leaving cholecystectomy at end of the procedures. One or two additional trocars were placed in the right upper quadrant to complete cholecystectomy during LSG. Concomitant cholecystectomy can be applied to all LSG patients with proven GB pathology. It adds not more than one hour to the operation time without an increase in morbidity or length of hospital stay.