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Port-sharing techniques for laparoscopic cholecystectomy and sleeve gastrectomy

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Abstract

In Japan, the number of bariatric surgeries performed has remained low. Thus, concomitant laparoscopic cholecystectomy (LC) with laparoscopic sleeve gastrectomy (LSG) is still relatively uncommon, but is increasing. We developed new port-sharing techniques for LC and LSG, which we performed on 26 obese Japanese patients with gall bladder (GB) diseases, using the LSG trocar arrangement and one additional trocar. We performed LC first, and after exchanging a port for a liver retractor in the epigastrium, we then completed LSG. One patient with an anomalous extrahepatic bile duct required one additional port. The mean LC time was 55 min, and the transition to LSG just after LC was smooth in all the patients. One patient suffered postoperative intraperitoneal hemorrhage, which was managed conservatively. Concomitant LC with LSG using port-sharing techniques is feasible and safe for obese Japanese patients with GB diseases.

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Funding

This study received no financial support.

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Authors and Affiliations

  1. Global Oita Medical Advanced Research Center for Health, Oita University, 1-1 Idaigaoka, Hasama-machi, Oita, 879-5593, Japan

    Masayuki Ohta

  2. Department of Gastroenterological and Pediatric Surgery, Oita University, Faculty of Medicine, Oita, Japan

    Masayuki Ohta, Kazuhiro Tada, Yuichi Endo, Hiroaki Nakanuma, Atsuro Fujinaga, Masahiro Kawamura, Takashi Masuda, Takahide Kawasaki, Kiminori Watanabe, Teijiro Hirashita & Masafumi Inomata

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  1. Masayuki Ohta
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  2. Kazuhiro Tada
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  3. Yuichi Endo
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  4. Hiroaki Nakanuma
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  5. Atsuro Fujinaga
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  6. Masahiro Kawamura
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  7. Takashi Masuda
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  8. Takahide Kawasaki
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  9. Kiminori Watanabe
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  10. Teijiro Hirashita
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  11. Masafumi Inomata
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Correspondence to Masayuki Ohta.

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We have no conflicts of interest to declare.

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All data collection and analyses were performed in accordance with the ethical standards of the 1964 Declaration of Helsinki, and the study was approved by the Ethics Committee of Oita University Faculty of Medicine (#1328).

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Ohta, M., Tada, K., Endo, Y. et al. Port-sharing techniques for laparoscopic cholecystectomy and sleeve gastrectomy. Surg Today 51, 1996–1999 (2021). https://doi.org/10.1007/s00595-021-02304-7

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