Faculty:
Dr Rajat Goel (Sr. Consultant - General, Laparoscopic & Bariatric Surgery)
Dr. Sandeep Yadu (Sr. Consultant - Anesthesia)

Hospital:
RG Hospitals, East Of Kailash, New Delhi.

Presenting/Chief Complaints:
A 28 year old male presented with complaints of pain in the right upper abdomen associated with nausea and dyspepsia. He was also found to be morbidly obese with a BMI of 43.1kg/m2.

Diagnosis:
On further investigations USG revealed a solitary large Gall Stone Cholelithiasis and Grade II fatty liver and hepato-spleenomegaly and Morbid Obesity- BMI -43.1kg/m2.

Treatment/Procedure/Surgery:
Laparoscopic Sleeve Gastrectomy + Laparoscopic Cholecystectomy under G.A

Operative Findings:
Intra operatively bulky liver was seen with moderate adhesions and a large stomach fundus. A single large gall stone measuring 1.9 cm in a distended gall bladder with adhesions at calots. During the procedure GB lifted off the liver bed and extracted from epigastric port after emptying it. Hemostasis achieved. Gastrolysis done 4mm from pylorus to angle of his. Resected stomach removed from the umbilical port.
Total Duration of Surgery was 1 Hour 20 Minutes.

Course of Hospitalization and Condition of Patient at the Time of Discharge:
Post operatively the patient was observed closely, input and output charting was done 2 hourly and abdominal girth charting was done 4 hourly. The Patient responded well to the treatment and was thereafter discharged within 48 hours in a stable and satisfactory condition.