LAPAROSCOPIC CHOLECYSTECTOMY IN THE OBESE PATIENT

被引：29

作者：

COLLET, D

EDYE, M

MAGNE, E

PERISSAT, J

机构：

[1] Service de Chirurgie Générale et Digestive, Centre de Chirurgie Laparoscopique, CHU de Bordeaux, Bordeaux, F-33200

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1992年 / 6卷 / 04期

关键词：

LAPAROSCOPIC CHOLECYSTECTOMY; LAPAROSCOPY; CHOLECYSTECTOMY; OBESITY;

D O I：

10.1007/BF02210878

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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

引用

页码：186 / 188

页数：3

共 12 条

[1]

Berci G., Sackier J.M., The Los Angeles experience with laparoscopic cholecystectomy, Am J Surg, 161, pp. 382-384, (1991)

[2]

Cuschieri A., Dubois F., Mouiel J., Mouret, Becker H., Buess G., Trede M., Troidl H., The European experience with laparoscopic cholecystectomy, Am J Surg, 161, pp. 385-387, (1991)

[3]

Dubois F., Icard P., Berthelot G., Levard H., Coelioscopic cholecystectomy: preliminary report of 36 cases, Ann Surg, 191, pp. 271-275, (1990)

[4]

Jung R.T., Chong P., The management of obesity, Clin Endocrinol, 35, pp. 11-20, (1991)

[5]

Perissat J., Collet D., Belliard R., Gallstones: laparoscopic treatment, intracorporeal lithotripsy followed by cholecystostomy or cholecystectomy — a personal technique, Endoscopy, 21, 1, pp. 373-374, (1990)

[6]

Perissat J., Collet D., Belliard R., Dost C., Bikandou G., Cholecystectomie par Laparoscopie. La Technique Opératiore. Les Résultats des 100 Premières Observations, J Chir, 127, pp. 347-355, (1990)

[7]

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 efficacy of laparoscopic cholecystectomy, Ann Surg, 213, pp. 3-12, (1991)

[8]

Reddick E.J., Olsen D.O., Outpatient laparoscopic laser cholecystectomy, Am J Surg, 160, pp. 485-489, (1991)

[9]

Schirmer B.D., Edge S.D., Dix J., Hyser M.J., Hanks J.B., Jones R.S., Laparoscopic cholecystectomy. Treatment of choice for symptomatic cholelithiasis, Ann Surg, 213, pp. 665-676, (1991)

[10]

Schoeffler P., Haberer J.P., Manhes H., Henry C., Habouzit J.L., Répercussions Circulatoires et Ventilatoires de la Coelioscopie chez l'Obèse, Ann Fr Anesth Réanim, 3, pp. 10-15, (1984)

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