Port-sharing techniques for laparoscopic cholecystectomy and sleeve gastrectomy

Area of Science:

• Minimally Invasive Surgery
• Bariatric Surgery
• Gastrointestinal Surgery

Background:

• Bariatric surgery rates remain low in Japan.
• Concomitant laparoscopic cholecystectomy (LC) and laparoscopic sleeve gastrectomy (LSG) is increasing but still uncommon.
• Obesity and gallbladder diseases frequently coexist in patients.

Purpose of the Study:

• To describe novel port-sharing techniques for combined LC and LSG.
• To evaluate the feasibility and safety of these combined procedures in obese Japanese patients.

Main Methods:

• Developed and applied new port-sharing techniques for LC and LSG.
• Performed combined LC and LSG on 26 obese patients with gallbladder diseases.
• Utilized the LSG trocar arrangement with one additional trocar, performing LC first, followed by LSG.

Main Results:

• The combined procedure was successfully performed in 26 patients.
• Mean LC operative time was 55 minutes.
• The transition from LC to LSG was smooth in all cases.
• One patient experienced postoperative intraperitoneal hemorrhage, managed conservatively.

Conclusions:

• Concomitant LC with LSG using port-sharing techniques is a feasible and safe option.
• This approach is suitable for obese Japanese patients with gallbladder diseases.
• The developed techniques facilitate combined bariatric and gallbladder surgery.