Simultaneous cholecystectomy during gastric and oesophageal resection: A retrospective analysis and critical review of literature

INTERNATIONAL JOURNAL OF SURGERY

卷:12

Review

Miftode, Sorin Vasile¹  Troja, Achim¹  El-Sourani, Nader¹  Raab, Hans-Rudolf¹  Antolovic, Dalibor¹ 

[1] Klinikum Oldenburg, European Med Sch, Dept Gen & Visceral Surg, D-26133 Oldenburg, Germany

关键词: Prophylactic cholecystectomy;    Cholelithiasis;    Gastric cancer;   

DOI  :  10.1016/j.ijsu.2014.10.039

来源: Elsevier

【 摘 要 】

The higher incidence of gallstone formation after gastrectomy for cancer has been reported as a common complication in many studies but the management strategies are still controversial and need further evaluation. We retrospectivaly analysed between 2007 and 2013, 206 patients who underwent gastric and or oesophageal resection. In 29/93 patients receiving an oesophagectomy a simultaneous cholecystectomy was performed, respectively 31 from 111 patients who underwent a gastrectomy received an incidental cholecystectomy. In 2 patients with an extended gastrectomy, the gallblader removing was performed simultaneously in one case. A subsequent cholecystectomy was performed in 11 cases. The increased surgical mortality was significant higher correlated with an intervention at a later stage point. That suggest that the prohylactic cholecystectomy can be safely performed during a major intervention in order to reduce complication and a reoperation. (C) 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free