Skip to main content
PMC home page
Annals of Surgery logoLink to Annals of Surgery
. 1992 Aug;216(2):146–152. doi: 10.1097/00000658-199208000-00005

Laparoscopic cholecystectomy in the obese patient.

B D Schirmer 1, J Dix 1, S B Edge 1, M J Hyser 1, J B Hanks 1, M Aguilar 1
PMCID: PMC1242586  PMID: 1386981

Abstract

The authors' experience with laparoscopic cholecystectomy (LC) in obese (O, n = 96) and morbidly obese (MO, n = 27) patient groups was compared with that in the normal weight (NW, n = 174) group of patients as well as the whole group (WG). There were no operative deaths. There were no significant differences between groups for any of the following: successful intraoperative cholangiography (WG, 52.2%; NW, 52.9%; O, 51.1%; MO, 55.6%), conversion to open cholecystectomy (WG, 9.6%; NW, 9.2%; O, 10.4%; MO, 11.1%), incidence of major complications (WG, 4.1%; NW, 3.4%, O, 5.2%; MO, 0%), incidence of minor complications (WG, 7.4%, NW, 7.5%; O, 6.3%; MO, 3.7%), and length of hospitalization after successful LC (WG, 1.25 days; NW, 1.31 days; O, 1.16 days; MO, 1.13 days). Duration of operation did not differ except LC in the MO group (136.4 +/- 6.9 minutes) was longer when compared with NW patients (123.0 +/- 2.9 minutes, p less than 0.05). The authors conclude LC is a safe and effective treatment for obese patients with symptomatic cholelithiasis.

Full text

PDF
146

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berci G., Sackier J. M. The Los Angeles experience with laparoscopic cholecystectomy. Am J Surg. 1991 Mar;161(3):382–384. doi: 10.1016/0002-9610(91)90602-a. [DOI] [PubMed] [Google Scholar]
  2. Cuschieri A., Dubois F., Mouiel J., Mouret P., Becker H., Buess G., Trede M., Troidl H. The European experience with laparoscopic cholecystectomy. Am J Surg. 1991 Mar;161(3):385–387. doi: 10.1016/0002-9610(91)90603-b. [DOI] [PubMed] [Google Scholar]
  3. Dubois F., Icard P., Berthelot G., Levard H. Coelioscopic cholecystectomy. Preliminary report of 36 cases. Ann Surg. 1990 Jan;211(1):60–62. doi: 10.1097/00000658-199001000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Flowers J. L., Bailey R. W., Scovill W. A., Zucker K. A. The Baltimore experience with laparoscopic management of acute cholecystitis. Am J Surg. 1991 Mar;161(3):388–392. doi: 10.1016/0002-9610(91)90604-c. [DOI] [PubMed] [Google Scholar]
  5. Perissat J., Vitale G. C. Laparoscopic cholecystectomy: gateway to the future. Am J Surg. 1991 Mar;161(3):408–408. doi: 10.1016/0002-9610(91)90609-h. [DOI] [PubMed] [Google Scholar]
  6. Peters J. H., Ellison E. C., Innes J. T., Liss J. L., Nichols K. E., Lomano J. M., Roby S. R., Front M. E., Carey L. C. Safety and efficacy of laparoscopic cholecystectomy. A prospective analysis of 100 initial patients. Ann Surg. 1991 Jan;213(1):3–12. doi: 10.1097/00000658-199101000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Reddick E. J., Olsen D., Spaw A., Baird D., Asbun H., O'Reilly M., Fisher K., Saye W. Safe performance of difficult laparoscopic cholecystectomies. Am J Surg. 1991 Mar;161(3):377–381. doi: 10.1016/0002-9610(91)90601-9. [DOI] [PubMed] [Google Scholar]
  8. Schirmer B. D., Edge S. B., Dix J., Hyser M. J., Hanks J. B., Jones R. S. Laparoscopic cholecystectomy. Treatment of choice for symptomatic cholelithiasis. Ann Surg. 1991 Jun;213(6):665–677. doi: 10.1097/00000658-199106000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Voyles C. R., Petro A. B., Meena A. L., Haick A. J., Koury A. M. A practical approach to laparoscopic cholecystectomy. Am J Surg. 1991 Mar;161(3):365–370. doi: 10.1016/0002-9610(91)90599-9. [DOI] [PubMed] [Google Scholar]
  10. Zucker K. A., Bailey R. W., Gadacz T. R., Imbembo A. L. Laparoscopic guided cholecystectomy. Am J Surg. 1991 Jan;161(1):36–44. doi: 10.1016/0002-9610(91)90358-k. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES