Laparoscopic cholecystectomy in obese and nonobese patients

被引：21

作者：

Gatsoulis, N ^{[1
]}

Koulas, S ^{[1
]}

Kiparos, G ^{[1
]}

Tzafestas, N ^{[1
]}

Pangratis, K ^{[1
]}

Pandis, K ^{[1
]}

Mavrakis, G ^{[1
]}

机构：

[1] Dist Gen Hosp Corfu, Dept Surg, Corfu 49100, Greece

来源：

OBESITY SURGERY | 1999年 / 9卷 / 05期

关键词：

cholecystitis; laparoscopy; obesity; morbid obesity;

D O I：

10.1381/096089299765552756

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: From November 1997 to November 1998, 145 cases of laparoscopic cholecystectomy (LC) have been attempted at the District General Hospital of Corfu. Methods: 23 (15.8%) were obese (Group I, BMI >30) and 122 (84.2%) were nonobese patients (Group II, BMI less than or equal to 30). One-fifth of these patients suffered from acute cholecystitis. Results: Operative time averaged 95 minutes in Group I and 78 minutes in Group II. There were no deaths. There were no significant differences between the obese and nonobese groups in conversion to open procedure (Group I: 0%, Group II: 2.4%), intraoperative and postoperative complications (Group I: 4.3%, Group II: 4.0%), operating time, and length of postoperative hospitalization. Conclusion: LC was a safe and effective treatment for obese patients with symptomatic cholelithiasis.

引用

页码：459 / 461

页数：3

共 15 条

[1]

ANGRISANI L, 1995, SURG LAPAROSC ENDOSC, V5, P197

[2] COMPLICATIONS OF OBESITY [J].

BRAY, GA .

ANNALS OF INTERNAL MEDICINE, 1985, 103 (06) :1052-1062

[3] LAPAROSCOPIC CHOLECYSTECTOMY IN THE OBESE PATIENT [J].

COLLET, D ;

EDYE, M ;

MAGNE, E ;

PERISSAT, J .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1992, 6 (04) :186-188

[4]

CUSHIERI A, 1991, AM J SURG, V161, P385

[5]

DARZI A, 1997, ATLAS LAPAROSCOPIC S, P31

[6] OBESITY AND POSTOPERATIVE COMPLICATIONS OF ABDOMINAL OPERATION [J].

GARROW, JS ;

HASTINGS, EJ ;

COX, AG ;

NORTH, WRS ;

GIBSON, M ;

THOMAS, TM ;

MEADE, TW .

BRITISH MEDICAL JOURNAL, 1988, 297 (6642) :181-181

[7]

MILES RH, 1992, SURGERY, V112, P818

[8] RELATIONSHIP OF OBESITY TO POSTOPERATIVE COMPLICATIONS AFTER CHOLECYSTECTOMY [J].

PEMBERTON, LB ;

MANAX, WG .

AMERICAN JOURNAL OF SURGERY, 1971, 121 (01) :87-+

[9]

PHILLIPS EH, 1994, AM SURGEON, V60, P316

[10]

REDICK E, 1989, SURG ENDOSC-ULTRAS, V3, P41

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