A Technique for Simultaneous Cholecystectomy During Bariatric Surgery

Area of Science:

• Bariatric Surgery
• Minimally Invasive Surgery
• Hepatobiliary Surgery

Background:

• Cholecystectomy during bariatric procedures presents technical challenges.
• The Glissonian approach is a novel technique designed to address these challenges.

Purpose of the Study:

• To describe the Glissonian approach for laparoscopic cholecystectomy during bariatric surgery.
• To evaluate the effectiveness and safety of this technique.

Main Methods:

• A comparative study of 38 patients undergoing laparoscopic cholecystectomy during bariatric surgery (LRYGB or LSG).
• Patients were divided into two groups: Glissonian approach (13 patients) and conventional laparoscopic cholecystectomy (25 patients).
• Perioperative outcomes were analyzed and compared between the groups.

Main Results:

• The Glissonian approach was used in 13 patients, while 25 underwent conventional surgery.
• Mean BMI was 40.1 kg/m² in the Glissonian group and 37.6 kg/m² in the conventional group.
• The Glissonian approach resulted in a mean operative time saving of 7 minutes with no reported complications.

Conclusions:

• The Glissonian approach is a simple, safe technique for cholecystectomy in morbidly obese patients.
• It demonstrates low morbidity and acceptable operative times.
• This technique is suitable for integration into bariatric surgical procedures.