COMPARISON OF LAPAROSCOPIC CHOLECYSTECTOMY IN OBESE AND NONOBESE PATIENTS

被引:0
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作者
PHILLIPS, EH
CARROLL, BJ
FALLAS, MJ
PEARLSTEIN, AR
机构
[1] UNIV CALIF LOS ANGELES, SCH MED, LOS ANGELES, CA USA
[2] CEDARS SINAI MED CTR, LOS ANGELES, CA 90048 USA
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中图分类号
R61 [外科手术学];
学科分类号
摘要
Results of laparoscopic cholecystectomy in obese and non-obese patients were analyzed prospectively. Laparoscopic cholecystectomy was performed in 841 patients-179 obese (Group 1) and 662 non-obese (Group II). Operative time averaged 73.1 minutes in Group I and 73.7 minutes in Group II. There were no statistically significant differences in the ability to perform cholangiography (99.4% Group I; 97.9% Group II), conversion rate (1.1% Group I; 1.5% Group II), or complications (4.5% Group I; 3.8% Group II). In Group I no pulmonary complications were noted, nor any cases of venous thromboembolic disease. Risk of laparoscopic cholecystectomy appears comparable in obese and non-obese patients. Based on historical comparisons, laparoscopic cholecystectomy may be safer than traditional cholecystectomy in obese patients.
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页码:316 / 321
页数:6
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