Laparoscopic cholecystectomy in the morbidly XXXX .

@entity1 @entity28 @entity5990 @entity281 @entity358 @entity2679 @entity1031 @entity65
In the early days of video-assisted laparoscopic cholecystectomy (VLC), @entity28 was considered a contraindication for the procedure. We reviewed charts from 304 @entity1 undergoing VLC; 90 @entity1 were @entity28 , and among these, according to a classification currently used by medical nutritionists and based on BMI, 45 were overweight (BMI > or = 25 < or = 29.9), 27 were considered conventionally @entity28 (BMI > or = 30 and < 40) and 18 morbidly @entity28 (BMI > or = 40). In this study we considered only the morbidly @entity28 @entity1 (5 males and 13 females). The average age was 42.3 years (range: 21-65) and the average weight 275 Ib (range: 186-331 Ib). Six @entity1 had previously undergone abdominal surgery. All @entity1 were symptomatic for @entity5990 , and 5 of them were suffering from acute @entity2679 . Mean operative time was 20 minutes (range: 10-45 minutes) longer than that of @entity28 @entity1 . No open conversion was necessary. No major postoperative morbidity and no cases of mortality occurred. The mean hospital stay and resumption of normal diet were similar to those of @entity28 @entity1 . Regardless of the higher postoperative risks after open cholecystectomy in @entity28 @entity1 ( @entity358 , @entity1031 , wound @entity281 and @entity65 ), we suggest VLC as the procedure of choice for cholecystectomy in these @entity1 .
