A Single Centre Experience of Day Case Laparoscopic Cholecystectomy Outcomes by Body Mass Index Group.

Surgery Research and Practice Pub Date : 2017-01-01 Epub Date: 2017-09-28 DOI:10.1155/2017/1017584

Kirk Bowling, Samantha Leong, Sarah El-Badawy, Erfan Massri, Jaideep Rait, Jay Atkinson, Gandrapu Srinivas, Stuart Andrews

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Abstract

Aim: The purpose of this study was to evaluate whether patients with a high BMI can undergo safe day case LC for cholecystitis compared to groups of patients with a lower BMI.

Setting: NHS District General Hospital, UK.

Methods: A retrospective review of 2391 patients who underwent an attempted day case LC between 1 January 2009 and 15 August 2015 was performed. Patients were divided into five groups depending on their BMI. Inclusion criteria were patients undergoing elective day case laparoscopic cholecystectomy with cholecystitis on histology. The endpoints were complication requiring readmission and postoperative length of stay (LOS).

Results: There were 2391 LCs performed in the time period of which 1646 were eligible for inclusion. These LCs were classified as 273 (16.9%), 608 (37.8%), 428 (26.6%), 208 (12.9%), and 91 (5.66%) patients in the groups with BMI values of 18.5-24.9, 25-29.9, 30-34.9, 35-39.9, and >40, respectively. Average BMI was 30.0 (±5.53, 19-51) with an average postoperative LOS of 0.86, and there was no difference between the BMI groups. Overall complication rate was 4.3%; there was no significance between BMI groups.

Conclusions: Increased BMI was not associated with worse outcomes after day case LC.

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按体重指数组别对日间病例腹腔镜胆囊切除术结果的单中心经验。

目的：本研究的目的是评估与体重指数较低的患者相比，体重指数较高的患者是否可以接受安全的胆囊炎日间病例 LC：英国国家医疗服务系统地区综合医院：方法：对 2009 年 1 月 1 日至 2015 年 8 月 15 日期间尝试接受日间病例胆囊切除术的 2391 例患者进行回顾性研究。根据患者的体重指数将其分为五组。纳入标准为接受择期日间腹腔镜胆囊切除术且组织学显示患有胆囊炎的患者。终点是需要再次入院的并发症和术后住院时间（LOS）：结果：在此期间共进行了 2391 例胆囊切除术，其中 1646 例符合纳入条件。这些 LC 患者的 BMI 值分别为 18.5-24.9、25-29.9、30-34.9、35-39.9 和大于 40 的组别，分别为 273 例（16.9%）、608 例（37.8%）、428 例（26.6%）、208 例（12.9%）和 91 例（5.66%）。平均体重指数为 30.0（±5.53，19-51），平均术后 LOS 为 0.86，体重指数组之间没有差异。总体并发症发生率为 4.3%，BMI 组间无显著差异：结论：BMI的增加与日间病例LC术后较差的预后无关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Surgery Research and Practice

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期刊介绍： Surgery Research and Practice is a peer-reviewed, Open Access journal that provides a forum for surgeons and the surgical research community. The journal publishes original research articles, review articles, and clinical studies focusing on clinical and laboratory research relevant to surgical practice and teaching, with an emphasis on findings directly affecting surgical management.