Technical features of laparoscopic cholecystectomy in patients with overweight and obesity

Mikhin I.V.

Department of surgical diseases, School of pediatry and dentistry, The Volgograd State Medical University, Volgograd

Vorobiev A.A.

Volgograd State Medical University, Volgograd, Russia

Doronin M.B.

Department of surgical diseases, School of pediatry and dentistry, The Volgograd State Medical University, Volgograd

Kosivtsov O.A.

Department of surgical diseases, School of pediatry and dentistry, The Volgograd State Medical University, Volgograd

Ryaskov L.A.

Department of surgical diseases, Faculty of dentistry and pediatrics, Volgograd State Medical University, Volgograd, Russia, Department of operative surgery and topographic anatomy, Volgograd State Medical University, Volgograd, Russia

Technical features of laparoscopic cholecystectomy in patients with overweight and obesity

Authors:

Mikhin I.V., Vorobiev A.A., Doronin M.B., Kosivtsov O.A., Ryaskov L.A.

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Journal: Pirogov Russian Journal of Surgery. 2017;(9): 38‑42

DOI: 10.17116/hirurgia2017938-42

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To cite this article:

Mikhin IV, Vorobiev AA, Doronin MB, Kosivtsov OA, Ryaskov LA. Technical features of laparoscopic cholecystectomy in patients with overweight and obesity. Pirogov Russian Journal of Surgery. 2017;(9):38‑42. (In Russ.)
https://doi.org/10.17116/hirurgia2017938-42

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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

single laparoscopic access

overweight

obesity

Authors:

Mikhin I.V.

Department of surgical diseases, School of pediatry and dentistry, The Volgograd State Medical University, Volgograd

Vorobiev A.A.

Volgograd State Medical University, Volgograd, Russia

Doronin M.B.

Department of surgical diseases, School of pediatry and dentistry, The Volgograd State Medical University, Volgograd

Kosivtsov O.A.

Department of surgical diseases, School of pediatry and dentistry, The Volgograd State Medical University, Volgograd

Ryaskov L.A.

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