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Khirurgiia (Mosk). 2017;(9):38-42. doi: 10.17116/hirurgia2017938-42.

[Technical features of laparoscopic cholecystectomy in patients with overweight and obesity].

[Article in Russian; Abstract available in Russian from the publisher]

Author information

1
Chair of Surgical Diseases of Pediatric and Dental Faculties, Volgograd, Russia.
2
Chair of Operative Surgery and Topographic Anatomy of Volgograd State Medical University, Volgograd, Russia.

Abstract

in English, Russian

AIM:

To improve surgical treatment of patients with cholelithiasis and obesity by using of different technologies of laparoscopic cholecystectomy.

MATERIAL AND METHODS:

There were 88 (16.4%) patients with overweight and obesity among 538 patients who underwent laparoscopic cholecystectomy. Conventional laparoscopic cholecystectomy was performed in 33 (6.1%) cases, cholecystectomy through single laparoscopic access - in 12 (2.3%), cholecystectomy via single laparoscopic access with trocar support - in 43 (8.0%) patients with body mass index 25-52.3 kg/m2. The article describes the technical features of laparoscopic cholecystectomy.

RESULTS:

Complications were absent in 83 (94.3%) of 88 cases after laparoscopic cholecystectomy. The lowest pain severity in early postoperative period was noted in case of single laparoscopic access (p<0.05).

CONCLUSION:

Conventional and single-port laparoscopic cholecystectomy is advisable in patients with calculous cholecystitis, overweight and obesity.

KEYWORDS:

laparoscopic cholecystectomy; obesity; overweight; single laparoscopic access

PMID:
28914831
DOI:
10.17116/hirurgia2017938-42
[Indexed for MEDLINE]

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