The Safety and Efficacy of Concurrent Laparoscopic Cholecystectomy during Minimally Invasive Roux-en-Y Gastric Bypass: A Systematic Review

We conducted a systematic review to examine perioperative outcomes for adults undergoing minimally invasive Roux-en-Y gastric bypass (RYGB) with and without concurrent cholecystectomy (CCE). We reviewed the literature using OVID MEDLINE(R), Embase, Cochrane CENTRAL, Web of Science, and medRxiv and i...

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Bibliographic Details
Published in:Obesity surgery 2024-07, Vol.34 (7), p.2650-2655
Main Authors: Kowal, Sloane, Vendrov, Mitchell, Vaz, David, Mir, Zuhaib M., Hanna, Nader M., Zevin, Boris
Format: Article
Language:English
Subjects:
Adult
Bile ducts
Cholecystectomy
Cholecystectomy, Laparoscopic - adverse effects
Female
Gallstones
Gastric Bypass - adverse effects
Gastric Bypass - methods
Gastrointestinal surgery
Humans
Keywords
Laparoscopy
Length of stay
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Minimally Invasive Surgical Procedures - methods
Obesity
Obesity, Morbid - surgery
Observational studies
Operative Time
Postoperative Complications - epidemiology
Review
Robotics
Surgery
Systematic review
Treatment Outcome
Weight control
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Description
Summary:We conducted a systematic review to examine perioperative outcomes for adults undergoing minimally invasive Roux-en-Y gastric bypass (RYGB) with and without concurrent cholecystectomy (CCE). We reviewed the literature using OVID MEDLINE(R), Embase, Cochrane CENTRAL, Web of Science, and medRxiv and identified studies published between 1946 and May 2023. We identified a total of 2402 studies with 11 included in the final analysis (combined 149,356 patients). Studies suggested increased operative time associated with RYGB-CCE, with mixed results regarding length of stay and rates of bile duct injury. Presently available data is not robust enough to conclude whether minimally invasive RYGB with CCE harms or benefits patients compared to RYGB alone.
ISSN:0960-8923
1708-0428
1708-0428
DOI:10.1007/s11695-024-07270-w