文章基本信息

标题：Impact of Obesity on Technical Feasibility and Postoperative Outcomes of Laparoscopic Cholecystectomy
本地全文：下载
作者：Amit H Joshi ; Pratik H Vyas ; Hiralkumar Rajdev 等
期刊名称：National Journal of Community Medicine
印刷版ISSN：0976-3325
电子版ISSN：2229-6816
出版年度：2016
卷号：7
期号：2
页码：138-141
出版社：National Journal of Community Medicine
摘要："Introduction: Conventional abdominal surgery in grossly obese patients is associated with an increased rate of postoperative com-plications; thus, laparoscopic surgery may be preferred in these patients. Methods: A prospective analysis was performed of 20 obese patients who underwent laparoscopic cholecystectomy between April 2013 and April 2015 for symptomatic non-complicated gall-stone disease. Technical problems at operation included difficulty with induction of pneumoperitoneum and introduction of the most lateral subcostal port, retraction of the gallbladder fundus, the need for longer instruments and the closure of the fascia. Results: Laparoscopic cholecystectomy was successfully completed in 19 patients, but one patient required conversion to open operation. There were no anaesthetic difficulties. Two patients developed minor chest infections. The mean hospital stay was 4.9 days. Conclusion: Laparoscopic cholecystectomy is feasible and can be recommended for symptomatic gallstone disease in grossly obese patients. "
关键词：Laparoscopic cholecystectomy; obesity