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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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| Published in: | Obesity surgery 2005-02, Vol.15 (2), p.243-246 |
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| container_title | Obesity surgery |
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| creator | Simopoulos, Constantinos Polychronidis, Alexandros Botaitis, Sotirios Perente, Sebachedin Pitiakoudis, Michail |
| description | 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 |
| doi_str_mv | 10.1381/0960892053268516 |
| format | article |
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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<0.001).
LC is effective and safe in patients with morbid obesity. As it carried low risks of conversion and perioperative complications, we suggest that LC is the select approach for these patients. Moreover, the rapid mobilization and hospital discharge following LC may provide extra benefit to these patients.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1381/0960892053268516</identifier><identifier>PMID: 15802068</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>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</subject><ispartof>Obesity surgery, 2005-02, Vol.15 (2), p.243-246</ispartof><rights>Springer 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15802068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simopoulos, Constantinos</creatorcontrib><creatorcontrib>Polychronidis, Alexandros</creatorcontrib><creatorcontrib>Botaitis, Sotirios</creatorcontrib><creatorcontrib>Perente, Sebachedin</creatorcontrib><creatorcontrib>Pitiakoudis, Michail</creatorcontrib><title>Laparoscopic cholecystectomy in obese patients</title><title>Obesity surgery</title><addtitle>Obes Surg</addtitle><description>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<0.001).
LC is effective and safe in patients with morbid obesity. As it carried low risks of conversion and perioperative complications, we suggest that LC is the select approach for these patients. Moreover, the rapid mobilization and hospital discharge following LC may provide extra benefit to these patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Body Mass Index</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cholecystectomy, Laparoscopic - methods</subject><subject>Cholelithiasis - complications</subject><subject>Cholelithiasis - diagnosis</subject><subject>Cholelithiasis - surgery</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laparotomy</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - diagnosis</subject><subject>Pain, Postoperative</subject><subject>Postoperative Complications - epidemiology</subject><subject>Probability</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Treatment Outcome</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNpdkDtLxEAUhQdR3HW1t5JgYZf1zuvOpJTFFwRstA6TyQ1mSTIxkxT77424Nlan-D4Oh8PYNYctl5bfQ4ZgMwFaCrSa4wlbcwM2BSXsKVv_4HThcsUuYtwDCI5CnLMV1xYEoF2zbe4GN4bow9D4xH-GlvwhTuSn0B2Spk9CSZGSwU0N9VO8ZGe1ayNdHXPDPp4e33cvaf72_Lp7yNNBSJxSqWQFpuZWKo0gtSFvKmlI1d6X3JSqLnVNiM6AUkY6BG8c1cQ9gnKZkxt299s7jOFrpjgVXRM9ta3rKcyxQKPRchCLePtP3Id57JdthRWcg0SlFunmKM1lR1UxjE3nxkPxd4P8Brk3Xcs</recordid><startdate>200502</startdate><enddate>200502</enddate><creator>Simopoulos, Constantinos</creator><creator>Polychronidis, Alexandros</creator><creator>Botaitis, Sotirios</creator><creator>Perente, Sebachedin</creator><creator>Pitiakoudis, Michail</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200502</creationdate><title>Laparoscopic cholecystectomy in obese patients</title><author>Simopoulos, Constantinos ; Polychronidis, Alexandros ; Botaitis, Sotirios ; Perente, Sebachedin ; Pitiakoudis, Michail</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p236t-343d07f1834560357ec7d37e4fccb17b4fb5fe66a704473a60c7aefe1c604a9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Analysis of Variance</topic><topic>Body Mass Index</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cholecystectomy, Laparoscopic - methods</topic><topic>Cholelithiasis - complications</topic><topic>Cholelithiasis - diagnosis</topic><topic>Cholelithiasis - surgery</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laparotomy</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - diagnosis</topic><topic>Pain, Postoperative</topic><topic>Postoperative Complications - epidemiology</topic><topic>Probability</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simopoulos, Constantinos</creatorcontrib><creatorcontrib>Polychronidis, Alexandros</creatorcontrib><creatorcontrib>Botaitis, Sotirios</creatorcontrib><creatorcontrib>Perente, Sebachedin</creatorcontrib><creatorcontrib>Pitiakoudis, Michail</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database (Proquest)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simopoulos, Constantinos</au><au>Polychronidis, Alexandros</au><au>Botaitis, Sotirios</au><au>Perente, Sebachedin</au><au>Pitiakoudis, Michail</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic cholecystectomy in obese patients</atitle><jtitle>Obesity surgery</jtitle><addtitle>Obes Surg</addtitle><date>2005-02</date><risdate>2005</risdate><volume>15</volume><issue>2</issue><spage>243</spage><epage>246</epage><pages>243-246</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>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<0.001).
LC is effective and safe in patients with morbid obesity. As it carried low risks of conversion and perioperative complications, we suggest that LC is the select approach for these patients. Moreover, the rapid mobilization and hospital discharge following LC may provide extra benefit to these patients.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>15802068</pmid><doi>10.1381/0960892053268516</doi><tpages>4</tpages></addata></record> |
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| 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 |
| title | Laparoscopic cholecystectomy in obese patients |
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