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Updated: Mar 1, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture

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Cholecystectomy and Hysterectomy: A Least Invasive Approach.

Shirish Sheth1, Tehemton Udwadia2, Dipti Shende3

  • 1Breach Candy, Saifee and Sheth Maternity and Gynaecological Nursing Home, Mumbai, India.

Journal of Obstetrics and Gynaecology of India
|May 27, 2017
PubMed
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Combining laparoscopic cholecystectomy and vaginal hysterectomy offers significant benefits for women. This minimally invasive approach reduces anesthesia risks, operative time, and hospital stays, improving cost-effectiveness.

Area of Science:

  • Minimally Invasive Surgery
  • Gynecologic Surgery
  • General Surgery

Background:

  • Concurrent surgical procedures can offer patient benefits by reducing overall treatment time and exposure to anesthesia.
  • Cholecystectomy (gallbladder removal) and hysterectomy (uterus removal) are common procedures that can be indicated in women of similar age groups.

Purpose of the Study:

  • To evaluate the feasibility and benefits of combining laparoscopic cholecystectomy with vaginal hysterectomy in a single operative session.
  • To promote a minimally invasive surgical approach for women requiring both procedures.

Main Methods:

  • A retrospective study of 45 women aged 40-75 years undergoing combined procedures between 2001-2014.
  • Laparoscopic cholecystectomy performed by general surgeons, followed by vaginal hysterectomy (with or without bilateral salpingo-oophorectomy) by gynecologists.
Keywords:
CholecystectomyHysterectomyLaparoscopicVaginal

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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
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Main Results:

  • Average surgical times: 40 min for cholecystectomy, 32-64 min for hysterectomy (depending on complexity).
  • Estimated blood loss: <50-100 ml for hysterectomy, up to 250 ml with debulking; 10-80 ml for cholecystectomy.
  • The combined approach was successfully implemented in the study cohort.

Conclusions:

  • Combining laparoscopic cholecystectomy and vaginal hysterectomy is a viable and beneficial approach.
  • This combined strategy minimizes anesthesia risks, operative duration, and hospital stay, leading to improved cost-effectiveness.