How does obesity influence the complications of gallbladder surgery
Obesity can influence complications after gallbladder surgery, particularly laparoscopic cholecystectomy (LC). While studies indicate that obesity does not significantly increase the overall risk of severe complications, it may lead to longer operative times due to anatomical challenges and increased fat tissue[1][2].
Obese patients often experience higher rates of conversion to open surgery, though this is not universal[4]. Additionally, while postoperative complications may remain low, they can include surgical site infections and longer recovery times in some cases[5]. Careful surgical techniques and patient selection are essential for minimising risks in obese patients undergoing gallbladder surgery.
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Citations:
[1] The influence of obesity on the safety of laparoscopic cholecystectomy https://pmc.ncbi.nlm.nih.gov/articles/PMC11223541/
[2] Obesity is not a risk factor for either mortality or complications after ... https://www.nature.com/articles/s41598-021-81963-5
[3] Impact of obesity on surgical outcome after single-incision https://journals.lww.com/jmas/fulltext/2018/14020/impact_of_obesity_on_surgical_outcome_after.3.aspx
[4] Does high body mass index impact surgical outcomes and hospital cost ... https://appconnect.daysurgeryuk.net/2019-journal/jods-291-february-2019/does-high-body-mass-index-impact-surgical-outcomes-and-hospital-cost-for-day-case-laparoscopic-cholecystectomy/
[5] Gallbladder Disease and the Patient with Obesity https://www.obesityaction.org/resources/gallbladder-disease-and-the-obese-patient/
[6] Laparoscopic cholecystectomy: incidents and complications. A retrospective analysis of 9542 consecutive laparoscopic operations https://pmc.ncbi.nlm.nih.gov/articles/PMC2020579/
[7] Weight loss after gallbladder removal: Management and more https://www.medicalnewstoday.com/articles/317659
[8] Life After Gallbladder Removal Surgery https://www.healthline.com/health/gallbladder-removal-side-effects