Laparoscopic cholecystectomy in morbidly obese patients

Ammori, Basil J.; Vezakis, Αntonios; Davides, D.; Martin, I. G.; Larvin, Michael; McMahon, Michael

doi:10.1007/s004640000019

Cited by 69 publications

(46 citation statements)

References 14 publications

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“…There have been many studies evaluating the clinical outcome of obese patients undergoing laparoscopic cholecystectomy [2,3,5,17,20]. Morbid obesity was first regarded as a contraindication for laparoscopic cholecystectomy because of the technical difficulty; for example, trocar insertion is problematic in this population [4,9,10].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy-assisted distal gastrectomy for early gastric cancer in obese and nonobese patients

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Laparoscopy-assisted distal gastrectomy for early gastric cancer in obese and nonobese patients

et al. 2004

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“…8,[11][12][13] Previous studies have shown similar rates of postoperative complications in obese and nonobese groups. 7,[14][15][16][17][18][19][20][21] Indeed, the only consistent difference between the groups has been increased operating time.…”

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confidence: 99%

Day case laparoscopic cholecystectomy in patients with high BMI: Experience from a UK centre

Tandon

Sunderland

Nunes

et al. 2016

annals

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INTRODUCTION Symptomatic gall stones may require laparoscopic cholecystectomy (LC), which is one of the most commonly performed general surgical operations in the western world. Patients with a high body mass index (BMI) are at increased risk of having gall stones, and are often considered at high risk of surgical complications due to their increased BMI. We believe that day case surgery could nevertheless have significant benefits in terms of potential cost savings and patient satisfaction in this population. We therefore compared the outcomes of day case patients undergoing LC stratified by BMI, with a specific focus on the safety and success of the procedure in obese and morbidly obese groups. METHODS We reviewed a database of day case procedures performed between January 2004 and December 2012, including all patients with symptomatic gall stone disease who underwent LC. The patients were divided in four BMI groups: less than 25 kg/m 2 , 25-29 kg/m 2 , 30-39 kg/m 2 and 40 kg/m 2 or above.

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“…Therefore, many bariatric surgeons [1,2] perform cholecystectomy concomitantly with the bariatric procedure. However, new evidence indicating that the therapeutic advantages in nonobese patients can be extended to the obese population, permitting laparoscopic application in bariatric surgery [3,4], could alter these previous ideas. In general, no data are available on the value of laparoscopic cholecystectomy (LC) in patients with cholelithiasis who underwent bariatric surgery without concomitant cholecystectomy.…”

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Laparoscopic cholecystectomy after bariatric surgery

et al. 2003

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Laparoscopic cholecystectomy in morbidly obese patients

Abstract: LC in morbidly obese patients is a safe procedure, but it may be associated with increased operative difficulty and morbidity, as compared with nonobese and obese patients.

Cited by 69 publications

References 14 publications

Laparoscopy-assisted distal gastrectomy for early gastric cancer in obese and nonobese patients

Laparoscopy-assisted distal gastrectomy for early gastric cancer in obese and nonobese patients

Day case laparoscopic cholecystectomy in patients with high BMI: Experience from a UK centre

Laparoscopic cholecystectomy after bariatric surgery

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