Abstract
The incidence of gallstones and gallbladder sludge is higher in patients after gastrectomy than in the general population, probably related to surgical dissection of vagus nerve branches and to the gastrointestinal anatomical reconstruction. Therefore, some surgeons routinely perform concomitant cholecystectomy during standard surgery for gastric malignancies. However, not all patients diagnosed with cholelithiasis after gastric cancer surgery will develop symptoms or require additional surgical treatment, and a standard laparoscopic cholecystectomy is often feasible even in those patients who have previously undergone gastric surgery. At present, there are no relevant randomized studies and decisions regarding gallbladder management are left to surgeons’ individual preferences. However, routine cholecystectomy during gastric cancer surgery cannot be recommended in patients with a normal acalculous gallbladder.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Kobayashi T, Hisanaga M, Kanehiro H, Yamada Y et al (2005) Analysis of risks factors for the development of gallstones after gastrectomy. Br J Surg 92:1399–1403
Sanders G, Kingsnorth AN (2007) Gallstones. BMJ 335:295–299
Sakorafas GH, Milingos D, Peros G (2007) Asymptomatic cholelithiasis: is cholecystectomy really needed? Dig Dis Sci 52:1313–1325
Fukagawa T, Katai H, Saka M, Morita S et al (2009) Gallstone Formation after Gastric Cancer Surgery. J Gastrointest Surg 13:886–889
Vicky Ka Ming Li, Pulido N, Martinez-Suartez P, Fajnwaks P et al (2009) Symptomatic gallstones after sleeve gastrectomy. Surg Endosc 23:2488–2492
Qvist N (2000) Review article: gall-bladder motility after intestinal surgery. Aliment Pharmacol Ther 14 (s2): 35–38
Yi SQ, Ohta T, Tsuchida A, Terayama H et al (2007) Surgical anatomy of innervation of the gallbladder in humans and Suncus murinus with special reference to morphological understanding of gallstone formation after gastrectomy. World J Gastroenterol 14:2066–2071
Tachibana M, Kinugasa S, Yoshimura H, Dhar DK et al (2003) Acute cholecystitis and cholelithiasis developed after esophagectomy. Can J Gastroenterol 17:175–178
Tsunoda K, Shirai Y, Wakai T, Yokoyama N et al (2004) Increased risk of cholelithiasis after esophagectomy. J Hepatobiliary Pancreat Surg 11:319–323
Gillen S, Michalski CW, Schuster T, Feith M et al (2010) Simultaneous/Incidental cholecystectomy during gastric/esophageal resection: systematic analysis of risks and benefits. World J Surg 34:1008–1014
Lepage C, Sant M, Verdecchia A, Forman D et al (2010) Operative mortality after gastric cancer resection and long-term survival differences across Europe. Br J Surg 97:235–239
Tomita R, Tanjoh K, Fujisaki S (2004) Total gastrectomy reconstructed by interposition of a jejunal J pouch with preservation of hepatic vagus branch and lower esophageal sphincter for T2 gastric cancer without lymph node metastasis. Hepatogastroenterology 51:1233–1240
Akatsu T, Yoshida M, Kubota T, Shimazu M et al (2005) Gallstone disease after extended (D2) lymph node dissection for gastric cancer. World J Surg 29:182–186
Verlato G, Roviello F, Marchet A, Giacopuzzi S et al (2009) Indexes of surgical quality in gastric cancer surgery: experience of an Italian network. Ann Surg Oncol 16: 594–602
Oh SJ, Choi WB, Song J, Hyung WJ et al (2009) Complications requiring reoperation after gastrectomy for gastric cancer: 17 years experience in a single institute. J Gastrointest Surg 13:239–245
Liu XS, Zhang Q, Zhong J, Zhu KK et al (2010) Acute cholecystitis immediately after radical gastrectomy: a report of three cases. World J Gastroenterol 16:2702–2074
Sasaki A, Nakajima J, Nitta H, Obuchi T et al (2008) Laparoscopic cholecistectomy in atients with a history of gastrectomy. Surg Today 38:790–794
Fraser SA, Sigman H (2009) Conversion in laparoscopic cholecystectomy after gastric resection: a 15-year review. Can J Surg 52:463–466
Wolf AS, Nijsse BA, Sokal SM, Chang Y et al (2009) Surgical outcomes of open cholecystectomy in the laparoscopic era. Am J Surg 197:781–784
Halldestam I, Kullman E, Borch K (2009) Incidence of and potential risk factors for gallstone disease in a general population sample. Br J Surg 96:1315–1322
Kwon AH, Inui H, Imamura A, Kaibori M et al (2001) Laparoscopic cholecystectomy and choledocholithotomy in patients with a previous gastrectomy. J Am Coll Surg 193:614–619
Li VK, Pulido N, Fajnwaks P, Szomstein S et al (2009) Predictors of gallstone formation after bariatric surgery: a multivariate analysis of risk factors comparing gastric bypass, gastric banding, and sleeve gastrectomy. Surg Endosc 23:1640–1644
Hagiwara A, Imanishi T, Sakakura C, Otsuji E et al (2002) Subtotal gastrectomy for cancer located in the greater curvature of the middle stomach with prevention of the left gastric artery. Am J Surg 183:692–696
Berger MY, Olde Hartman TC, Bohnen AM (2003) Abdominal symptoms: do they disappear after cholecystectomy? Surg Endosc 17:1723–1728
Farsi M, Bernini M, Bencini L, Miranda E et al (2009) The CHOLEGAS study: multicentric randomized, blinded, controlled trial of gastrectomy plus prophylactic cholecystectomy versus gastrectomy only, in adults submitted to gastric cancer surgery with curative intent. Trials 10:32
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Italia
About this chapter
Cite this chapter
Farsi, M., Bernini, M., Bencini, L. (2012). Cholecystectomy: Pros and Cons?. In: de Manzoni, G., Roviello, F., Siquini, W. (eds) Surgery in the Multimodal Management of Gastric Cancer. Springer, Milano. https://doi.org/10.1007/978-88-470-2318-5_20
Download citation
DOI: https://doi.org/10.1007/978-88-470-2318-5_20
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2317-8
Online ISBN: 978-88-470-2318-5
eBook Packages: MedicineMedicine (R0)