Summary
Between September 1990 and September 1991 laparoscopic cholecystectomy (LC) was performed in 310 patients with symptomatic cholelithiasis by using a four-cannula technique. Of this group, 282 were normal or overweight (group A) and 28 were obese (group B) according to classification using the Body Mass Index. Forty-one patients had cholecystitis of varying degree. There were no deaths in this series. The conversion rate to laparotomy was 2.9% and the morbidity was 5.4%. There was no statistical difference between groups A and B in relation to the length of procedure, conversion rate, or morbidity. This small series suggests that laparoscopic access is still feasible, if at times difficult, in obese patients. Specific surgical techniques concerning instrument length and cannula placement that may be useful in obese patients are described
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References
Berci G, Sackier JM, (1991) The Los Angeles experience with laparoscopic cholecystectomy. Am J Surg 161: 382–384
Cuschieri A, Dubois F, Mouiel J, Mouret Ph, Becker H, Buess G, Trede M, Tröidl H (1991) The European experience with laparoscopic cholecystectomy. Am J Surg 161: 385–387
Dubois F, Icard P, Berthelot G, Levard H (1990) Coelioscopic cholecystectomy: preliminary report of 36 cases. Ann Surg 191: 271–275
Jung RT, Chong P (1991) The management of obesity. Clin Endocrinol 35: 11–20
Périssat J, Collet D, Belliard R (1990) Gallstones: laparoscopic treatment, intracorporeal lithotripsy followed by cholecystostomy or cholecystectomy — a personal technique. Endoscopy (Suppl 1) 21: 373–374
Périssat J, Collet D, Belliard R, Dost C, Bikandou G (1990) Cholecystectomie par Laparoscopie. La Technique Opératiore. Les Résultats des 100 Premières Observations. J Chir (Paris) 127: 347–355
Peters JH, Ellison EC, Innes JT, Liss JL, Nichols KE, Lomano JM, Roby SR, Front ME, Carey LC (1991) Safety and efficacy of efficacy of laparoscopic cholecystectomy. Ann Surg 213: 3–12
Reddick EJ, Olsen DO (1991) Outpatient laparoscopic laser cholecystectomy. Am J Surg 160: 485–489
Schirmer BD, Edge SD, Dix J, Hyser MJ, Hanks JB, Jones RS (1991) Laparoscopic cholecystectomy. Treatment of choice for symptomatic cholelithiasis. Ann Surg 213: 665–676
Schoeffler P, Haberer JP, Manhes H, Henry C, Habouzit JL (1984) Répercussions Circulatoires et Ventilatoires de la Coelioscopie chez l'Obèse. Ann Fr Anesth Réanim 3: 10–15
Testas P, Chollet JM, de Watteville JC (1991) Essai d'Evaluation de la Cholécystectomie par Abord Coelioscopique. A Propos de 2266 Malades. Chirurgie (Paris) 116: 844–847
The Southern Surgeons Club (Meyers WC) (1991): A prospective analysis of 1518 laparoscopic cholecystectomies. N Eng J Med 324: 1073–1078
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Collet, D., Edye, M., Magne, E. et al. Laparoscopic cholecystectomy in the obese patient. Surg Endosc 6, 186–188 (1992). https://doi.org/10.1007/BF02210878
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DOI: https://doi.org/10.1007/BF02210878