title: Simultaneous cholecystectomy during gastric and oesophageal resection: a retrospective analysis and critical review of literature.
abstract: 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.
authors.affiliation: European Medical School, Department of General and Visceral Surgery, Klinikum Oldenburg, Germany.
authors.forename: Sorin Vasile
authors.initials: SV
authors.lastname: Miftode
authors.affiliation: European Medical School, Department of General and Visceral Surgery, Klinikum Oldenburg, Germany. Electronic address: troja.achim@klinikum-oldenburg.de.
authors.forename: Achim
authors.initials: A
authors.lastname: Troja
authors.affiliation: European Medical School, Department of General and Visceral Surgery, Klinikum Oldenburg, Germany.
authors.forename: Nader
authors.initials: N
authors.lastname: El-Sourani
authors.affiliation: European Medical School, Department of General and Visceral Surgery, Klinikum Oldenburg, Germany.
authors.forename: Hans-Rudolf
authors.initials: HR
authors.lastname: Raab
authors.affiliation: European Medical School, Department of General and Visceral Surgery, Klinikum Oldenburg, Germany.
authors.forename: Dalibor
authors.initials: D
authors.lastname: Antolovic
mesh_terms: D002763:Cholecystectomy; D016629:Esophagectomy / Q000009:adverse effects*; D005260:Female; D042882:Gallstones / Q000209:etiology / Q000517:prevention & control*; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D015994:Incidence; D008297:Male; D012086:Reoperation; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery
keywords: Cholelithiasis; Gastric cancer; Prophylactic cholecystectomy