Les résultats de la cholécystectomie laparoscopique chez les obeses: analyse statistique de 3509 cas

Horea Radu, Gelu Osian, Liviu Vlad, Lilian Mutelica, Vadim Vieru

Clinique de Chirurgie III, Université de Médecine et de Pharmacie “Iuliu Ha?ieganu” Cluj-Napoca

Abstract

We have statisticaly analised 3509 obese patients whom underwent laparoscopic cholecystectomy. These patients were part of a series of 9000 consecutive cases at whom we performed laparoscopic cholecystectomy. By using the Z test we compared, on statistical bases, the results obtained at the obese with that obtained at the entire series of 9000 cases.
Mean operative time, intraoperative complications, asociate morbidity, postoperative hospitalization and mortality were statistical similary at the obese and the entire series of 9000 cases. Obesity doesn’t influence the results of the laparoscopic cholecystectomy. Laparoscopic cholecystectomy could be used as first therapeutical intention at the obese patients with indication of cholecsytectomy, if there are no other specific contraindications.

Key words

Obesity, laparoscopic cholecistectomy