Arroyo-González C, Martínez-Ordaz JL, Blanco-Benavides R

Language: Spanish
References: 15
Page: 391-394
PDF size: 41.75 Kb.

ABSTRACT

Background: Overweight and obesity are associated with many complications. Their effects on operative morbidity and mortality in patients after open cholecystectomy have not been reported. Our objective was to report the results after open cholecystectomy of overweight and normal weight patients.
Methods: We report surgical results of 50 consecutive patients who underwent open cholecystectomy in a rural hospital in Mexico during a 6-month period.
Results: Fifty consecutive patients were included. Eighteen patients had a body mass index (BMI) ‹25 and 32 patients were overweight (BMI ›25). There were no significant differences in operative time (67 vs. 72 min), hospital stay (1.7 vs. 1.8 days) and postoperative complications (two in each group). The only significant difference that we found was a higher amount of surgical blood loss in overweight patients (148 vs. 94 ml, p ‹0.03).
Conclusions: This study reports a greater surgical blood loss of overweight patients during open cholecystectomy. There were no differences in the other studied factors.

REFERENCES

1. National Institutes of Health. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in AdultsThe Evidence Report. Clinical Guidelines/Evidence Reports. NIH Publication 98-4083 September 1998.

2. Pi-Sunyer FX. Medical hazards of obesity. Ann Intern Med 1993;119:655-660.

3. Dindo D, Muller MK, Weber M, Clavien PA. Obesity in general elective surgery. Lancet 2003;361:2032-2035.

4. Bray GA. Complications of obesity. Ann Intern Med 1985;103(6 pt 2):1052-1062.

5. Amaral JF, Thompson WR. Gallbladder disease in the morbidly obese. Am J Surg 1985;149:551-557.

6. Deitel M, Petrov I. Incidence of symptomatic gallstones after bariatric operations. Surg Gynecol Obstet 1987;164:549-552.

7. Dittrick GW. Gallbladder pathology in morbid obesity. Obes Surg 2005;15:238-242.

8. Petitti DB. Obesity and cholecystectomy among women: implications for prevention. Am J Prev Med 1988;4:327-330.

9. Livingston EH, Rege RV. A nationwide study of conversion from laparoscopic to open cholecystectomy. Am J Surg 2004;188:205-211.

10. Pemberton LB, Manax WG. Relationship of obesity to postoperative complications after cholecystectomy. Am J Surg 1971;121:87-90.

11. Thomas EJ, Goldman L, Mangione CM, Marcantonio ER, Cook EF, Ludwig L, et al. Body mass index as a correlate of postoperative complications and resource utilization. Am J Med 1997;102:277-283.

12. Phillips EH, Carroll BJ, Fallas MJ, Pearlstein AR. Comparison of laparoscopic cholecystectomy in obese and non-obese patients. Am Surg 1994;60:316-321.

13. De Roslyn JJ, Binns GS, Hughes EF, Saunders-Kirkwood K, Zinner MJ, Cates JA. Open cholecystectomy: a contemporary analysis of 42 474 patients. Am Surg 1993;218:212.

14. Simopoulos C, Polychronidis A, Botaitis S, Perente S, Pitiakoudis M. Laparoscopic cholecystectomy in obese patients. Obes Surg 2005;15:243-246.

15. Vidovic D, Jurisic D, Franjic BD, Glavan E, Ledinsky M, Bekavac-Beslin M. Factors affecting recurrence after incisional hernia repair. Hernia 2006;62:322-325.