Research Article
Concomitant versus Delayed Cholecystectomy in Bariatric Surgery
Table 5
Intraoperative difficulty in delayed cholecystectomy group (group 2) before and after 2 months of bariatric surgery.
| | During BS | After 2 months | value | Level of difficulty | No | % | No | % |
| Access | BMI ≥45 = 1 | 10 | 83.3 | 2 | 16.7 | ≤0.001 | Difficult liver elevation (liver size ≥ 20 cm at MCL by US) = 1 | 10 | 83.3 | 9 | 75.0 | >0.001 |
| Appearance of GB | Adhesion to GB <50% = 1 | 0 | 0.0 | 9 | 75.0 | ≤0.001 | Adhesion to GB>50% = 2 | 12 | 100.0 | 0 | 0.0 | ≤0.001 | Completely buried GB = 3 | 0 | 0.0 | 0 | 0.0 | >0.001 |
| Acutely inflamed (thick edematous wall, pyocele, or mucocele = 2 | 2 | 16.7 | 1 | 8.3 | >0.001 | Distended GB = 1 | 5 | 41.7 | 0 | 0.0 | ≤0.001 | Contracted or intrahepatic GB = 1 | 3 | 25.0 | 3 | 25.0 | >0.001 | Dense adhesion at Calot’s triangle = 1 | 12 | 100.0 | 3 | 25.0 | ≤0.001 | Total difficulty score(10) | Mean | 5.66 ± 0.98 | 2.26 ± 0.78 | ≤0.001 |
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McNemar test and paired t-test. p value is significant. |