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Single-incision laparoscopic cholecystectomy and overweight patients
Huseyin Yilmaz1, Husnu Alptekin, Fahrettin Acar
1Department of General Surgery, Faculty of Medicine, Selcuk University, Keykubat Kampusu, 42075, Konya, Turkey, hyilmazmd@hotmail.com.
Obesity Surgery
|August 10, 2013
Summary
Single-incision laparoscopic cholecystectomy (SILC) in overweight patients is linked to longer operative times and increased wound complications. Port-site hernia rates were high for all patients undergoing SILC.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Bariatric Surgery Outcomes
Background:
- Single-incision laparoscopic cholecystectomy (SILC) is a modification of traditional laparoscopic surgery.
- Limited data exists on the impact of high body mass index (BMI) on SILC outcomes.
- This study investigates SILC in overweight individuals.
Purpose of the Study:
- To evaluate perioperative outcomes and postoperative complications in overweight patients undergoing SILC.
- To compare outcomes between overweight (BMI ≥ 30 kg/m²) and normal weight (BMI < 30 kg/m²) patients after SILC.
Main Methods:
- Retrospective analysis of 202 patients who underwent SILC.
- Data collected included demographics, operative time, and postoperative complications.
- Patients were stratified into normal weight and overweight groups based on BMI.
Main Results:
- Overweight patients (n=45) experienced longer mean operative times (31.67 min) compared to normal weight patients (n=157, 26.6 min).
- Wound infection rates were higher in the overweight group (13.3%) versus the normal weight group (7.6%).
- Port-site hernia (PSH) occurred in 5.4% of all patients, regardless of BMI.
Conclusions:
- SILC in overweight patients is associated with prolonged operative time and increased wound complications.
- High rates of port-site hernia were observed after SILC, irrespective of patient weight.
- Further research may be needed to optimize SILC for patients with higher BMI.
