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
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
收藏
页码:459 / 461
页数:3
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