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 < or =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.
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 < or =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 obesepatients with symptomatic cholelithiasis.
Authors: Mary T Hawn; John Bian; Ruth R Leeth; Gilbert Ritchie; Nechol Allen; Kirby I Bland; Selwyn M Vickers Journal: Ann Surg Date: 2005-05 Impact factor: 12.969