{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:55:13Z","timestamp":1791212113524,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,4,10]],"date-time":"2022-04-10T00:00:00Z","timestamp":1649548800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,4,10]],"date-time":"2022-04-10T00:00:00Z","timestamp":1649548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,4,10]],"date-time":"2022-04-10T00:00:00Z","timestamp":1649548800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100007102","name":"Zagazig University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100007102","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100007102","name":"Zagazig University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Obesity is a severe health problem. Gallstones may symptomatize after sleeve gastrectomy (SG). Concomitant laparoscopic cholecystectomy (LC) with SG is controversial. The effects of SG and LC versus delayed LC following SG in obese patients with asymptomatic gallbladder stones were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A randomized trial of 222\u00a0morbidly obese patients with gallbladder stones divided them into two equal groups: SG\u2009+\u2009LC and SG\u2010only. This multicenter study conducted from January 2016 to January 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Except for operative time and postoperative hospital stay, there was no statistically significant difference between LSG\u2009+\u2009LC group and SG group (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). In SG\u2009+\u2009LC group, LC added 40.7\u00a0min to SG, three patients (3%) required conversion, early postoperative complications occurred in 9 cases (9\/111, 9%), three cases required re\u2010intervention (3%). In SG group, the complicated cases required LC were 61 cases (61\/111, 55%). Acute cholecystitis (26\/61, 42.7%) was the most common gallstone symptoms. Most complicated cases occurred in the first\u2010year follow\u2010up (52\/61, 85%). In the delayed LC group (61 patients), operative time was 50.13\u2009\u00b1\u20091.99\u00a0min<jats:styled-content>,<\/jats:styled-content> open conversion occurred in 2 cases (2\/61, 3.2%), early postoperative complications occurred in four patients (4\/61, 6.4%) and postoperative re\u2010intervention were due to bile leaks and cystic artery bleeding (2\/61, 3.2%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SG with LC prolongs the operative time and hospital stay, but the perioperative complications are the same as delayed LC; LC with SG minimizes the need for a second surgery. Concomitant LC with SG is safe.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-022-06557-2","type":"journal-article","created":{"date-parts":[[2022,4,10]],"date-time":"2022-04-10T15:06:27Z","timestamp":1649603187000},"page":"1721-1733","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Sleeve Gastrectomy and Cholecystectomy are Safe in Obese Patients with Asymptomatic Cholelithiasis. A Multicenter Randomized Trial"],"prefix":"10.1002","volume":"46","author":[{"given":"Tamer A. A. M.","family":"Habeeb","sequence":"first","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Zagazig University Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Kermansaravi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Rasool\u2010E Akram Hospital Iran University of Medical Sciences Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariano Eduardo","family":"Gim\u00e9nez","sequence":"additional","affiliation":[{"name":"Department of General and Minimally Invasive Surgery University of Buenos Aires Buenos Aires Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallikarjuna N.","family":"Manangi","sequence":"additional","affiliation":[{"name":"Department of General Surgery Bangalore Medical College and Research Institute Bengaluru India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hosam","family":"Elghadban","sequence":"additional","affiliation":[{"name":"Department of General Surgery Mansoura University Mansoura Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samar A.","family":"Abdelsalam","sequence":"additional","affiliation":[{"name":"Family Medicine Department\u2010Faculty of Medicine Zagazig University Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abd\u2010Elrahman M.","family":"Metwalli","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Zagazig University Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Ali","family":"Baghdadi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Zagazig University Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelrahman A.","family":"Sarhan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Zagazig University Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adel Mahmoud","family":"Moursi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Zagazig University Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed K.","family":"El\u2010Taher","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Faculty of Medicine Zagazig University Zagazig Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,10]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000126822"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2009.06.005"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.14.1724"},{"key":"e_1_2_10_5_1","doi-asserted-by":"crossref","unstructured":"AlmogyG CrookesPF AnthoneGJ(2004) Longitudinal gastrectomy as a treatment for the high\u2010risk super\u2010obese patient.Obes Surg492\u2013497.https:\/\/doi.org\/10.1381\/096089204323013479","DOI":"10.1381\/096089204323013479"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.14.5282"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1381\/0960892053268273"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010014\u20104010\u2010z"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2014.6954"},{"key":"e_1_2_10_10_1","unstructured":"National Institute for Clinical Excellence(2002)Guidance on the use of surgery to aid weight reduction for people with morbid obesity.https:\/\/ard.bmj.com\/content\/61\/suppl_2\/ii92."},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089203764467117"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.20517\/2574\u20101225.2019.72"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2019.03.004"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010011\u20100495\u2010x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010002\u20109169\u2010z"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/468203"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soard.2013.10.011"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000085300"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgast\u20102017\u2010000188"}],"container-title":["World 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March 2022","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 April 2022","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Disclosure of potential conflicts of interest: no conflicts of interest or financial ties to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was taken from all patients for inclusion in the study and publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"Our universities ethical board committees provided all the ethical licenses (HWD486134798), and written informed consent was obtained from all subjects and the study has been scheduled in consonance with Helsinki 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