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

Sloane Kowal; Mitchell Vendrov; David Vaz; Zuhaib M Mir; Nader M Hanna; Boris Zevin

doi:10.1007/s11695-024-07270-w

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

Obes Surg. 2024 Jul;34(7):2650-2655. doi: 10.1007/s11695-024-07270-w. Epub 2024 May 20.

Authors

Sloane Kowal¹, Mitchell Vendrov², David Vaz¹, Zuhaib M Mir³, Nader M Hanna⁴, Boris Zevin⁵

Affiliations

¹ School of Medicine, Queen's University, 80 Barrie Street, Kingston, ON, K7L 3N6, Canada.
² Department of Medicine, Queen's University, Kingston, Ontario 76 Stuart St, Kingston, ON, K7L 2V7, Canada.
³ Department of Surgery, Division of General Surgery, Dalhousie University, Halifax, Nova Scotia Room 8-848, 1278 Tower Road, Halifax, NS, B3H 2Y9, Canada.
⁴ Department of Surgery, Queen's University, Kingston, Ontario 76 Stuart St, Kingston, ON, K7L 2V7, Canada.
⁵ Department of Surgery, Queen's University, Kingston, Ontario 76 Stuart St, Kingston, ON, K7L 2V7, Canada. boris.zevin@kingstonhsc.ca.

PMID: 38767785
DOI: 10.1007/s11695-024-07270-w

Abstract

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.

Keywords: Bariatric Surgery; Cholecystectomy; Gallstones; Post-operative Outcomes.

Publication types

Systematic Review

MeSH terms

Adult
Cholecystectomy, Laparoscopic* / adverse effects
Cholecystectomy, Laparoscopic* / methods
Gastric Bypass* / adverse effects
Gastric Bypass* / methods
Humans
Length of Stay* / statistics & numerical data
Obesity, Morbid* / surgery
Operative Time
Postoperative Complications / epidemiology
Treatment Outcome