Journal List > J Korean Surg Soc > v.78(4) > 1011095

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Lee, Lee, Min, Yum, Lee, and Park: Combined Operation of Laparoscopic Cholecystectomy during Laparoscopic Appendectomy in Patient with Chronic Gallbladder Disease
Original Article
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 78(4): 225-230.

Published online: 13 April 2010

DOI: https://doi.org/10.4174/jkss.2010.78.4.225

Combined Operation of Laparoscopic Cholecystectomy during Laparoscopic Appendectomy in Patient with Chronic Gallbladder Disease

Anbok Lee, M.D., Jung Eun Lee, M.D.1, Seog Ki Min, M.D., Cha Kyung Yum, M.D.2, Hyeun-Kuk Lee, M.D., Jae Jung Park, M.D.3

Department of Surgery, Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.

1Department of Surgery, Hansol Hospital, Seoul, Korea.

2Department of Surgery, Kangbuk Samsung Hospital, Sungkwunkwan University School of Medicine, Seoul, Korea.

3Department of Surgery, Guri Hospital, Hanyang University School of Medicine, Guri, Korea.

Corresponding author (mp9666@ewha.ac.kr)

Received 5 October 2009       Accepted 1 December 2009

Copyright © 2010 The Korean Surgical Society

Abstract

Purpose

Laparoscopic cholecystectomy (LC) for asymptomatic gallbladder disease has been increasing since 1990 due to the development of LC technique. Moreover, it might be considered when someone with asymptomatic gallbladder disease needs emergency operation due to acute abdomen such as acute appendicitis. The aim of this study is to identify the efficacy of concurrent laparoscopic appendectomy with cholecystectomy.

Methods

From January 1997 to June 2009, 40 patients underwent laparoscopic appendectomy with cholecystectomy at Ewha Womans University Mokdong Hospital. 40 patients were enrolled in this study. We analyzed, retrospectively, clinical and diagnostic information, time and open conversion rate in operation, length of postoperation hospital stay, and complication rate.

Results

The mean age was 44.53±15.34 and male to female ratio was 1 to 1.86. 5% of all patients underwent abdominal surgery and 20% of all patients had associated diseases. Most common associated symptoms and final diagnosis were right lower abdominal pain (72.5%) and simple gallbladder stone (62.5%). Mean operation time was 98.75±33.14 min. and there was no open conversion. Mean length of postoperation hospital stay was 5±2 days. There was one (2.5%) postoperative complication.

Conclusion

Combined operation of laparoscopic cholecystectomy during laparoscopic appendectomy can be a good modality for patients with chronic gallbladder disease.

Keywords: Laparoscopic cholecystectomy, Laparoscopic appendectomy, Combined operation

Figures and Tables

Fig. 1
3 port method: location of camera (cholecystectomy).
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Fig. 2
3 port method: location of camera (appendectomy).
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Table 1
Preoperative symptom
jkss-78-225-i001

*RLQ = right lower quadrant; †RUQ = right upper quadrant; ‡N/V = nausea, vomiting.

Table 2
Final diagnosis
jkss-78-225-i002

*GB = gall bladder.

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