Simultaneous Laparoscopic Hernioplasty and Laparoscopic Cholecystectomy

Background: Inguinal hernia and cholecystolithiasis are common diseases, and it is not rare for a patient to suffer from both. There is a good indication for laparoscopic surgery. We here report 5 cases of simultaneous laparoscopic hernioplasty and laparoscopic cholecystectomy.
Method: In 5 cases, we performed simultaneous laparoscopic hernioplasty and laparoscopic cholecystectomy from November 2008 to July 2009. The sex ratio was 3 to 2, with the average age of 64.4 years. Three cases of inguinal hernia involved were bilateral sides, one on the right and one on the left side. All cases underwent laparoscopic cholecystectomy and laparoscopic transabdominal preperitoneal (TAPP) hernia repair at the same time.
Results: Mean operation time was 160.2 minutes (average 120 to 202). There was no case of laparotomy and there were no complications. The median hospital stay was 4.8 days.
Conclusion: Simultaneous operation involving laparoscopic hernioplasty and laparoscopic cholecystectomy is feasible and safe. Inguinal hernia and cholecystolithiasis are both general diseases and there is a good indication of laparoscopic surgery. If a patient has both diseases and laparoscopic surgery can be done at the same time, the burdento the patientcan bereduced. We found in our cases that, compared to an individual inguinal hernia and cholecystolithasis, there was no increase in complications nor longer time in the hospital. If we limit the cases, simultaneous laparoscopic operations are appropriate.


Session: Poster

Program Number: P448

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