Laparoscopic cholecystectomy in obese patients

Laparoscopic cholecystectomy (LC) is the treatment of choice for gallstones. Obesity was initially considered a contraindication to this approach. The aim of this report is to review our experience with LC, to evaluate the role of BMI in the outcome. The records of 1,804 patients who underwent LC fo...

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Bibliographic Details
Published in:Obesity surgery 2005-02, Vol.15 (2), p.243-246
Main Authors: Simopoulos, Constantinos, Polychronidis, Alexandros, Botaitis, Sotirios, Perente, Sebachedin, Pitiakoudis, Michail
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Analysis of Variance
Body Mass Index
Cholecystectomy, Laparoscopic - adverse effects
Cholecystectomy, Laparoscopic - methods
Cholelithiasis - complications
Cholelithiasis - diagnosis
Cholelithiasis - surgery
Cohort Studies
Female
Follow-Up Studies
Humans
Laparotomy
Length of Stay
Male
Middle Aged
Obesity
Obesity, Morbid - complications
Obesity, Morbid - diagnosis
Pain, Postoperative
Postoperative Complications - epidemiology
Probability
Retrospective Studies
Risk Assessment
Severity of Illness Index
Treatment Outcome
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Summary:Laparoscopic cholecystectomy (LC) is the treatment of choice for gallstones. Obesity was initially considered a contraindication to this approach. The aim of this report is to review our experience with LC, to evaluate the role of BMI in the outcome. The records of 1,804 patients who underwent LC for symptomatic cholelithiasis from May 1992 to January 2004 were analyzed retrospectively. Patients were divided into 5 groups according to their BMI: < or =24.9, 25.0-29.9, 30.0-34.9, 35.0-39.9 and > or =40 kg/m2. Of the 1,804 patients [1,379 females (76.4%) and 425 males (23.6%)] who underwent LC, 431(23.9%), 924 (51.2%), 355 (19.7%), 68 (3.8%) and 26 (1.4%) had BMI values of < or =24.9, 25.0-29.9, 30.0-34.9, 35.0-39.9 and > or =40 kg/m2, respectively. Conversion to open cholecystectomy was required in 94 patients (5.2%), and complications occurred in 39 patients (2.2%). There was no correlation between BMI and the conversion rate (P=0.593) and complication rate (P=0.944), while the hospital stay was similar between the groups with successful LC. The only significant difference was the longer operating time in the two obesity groups (P
ISSN:0960-8923
1708-0428
DOI:10.1381/0960892053268516