Association of severe obesity with risk of conversion to open in laparoscopic cholecystectomy for acute cholecystitis

Autor: Troy N. Coaston, BS, Amulya Vadlakonda, BS, Joanna Curry, BA, Saad Mallick, MD, Nguyen K. Le, MS, Corynn Branche, Nam Yong Cho, BS, Peyman Benharash, MD MS
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Surgery Open Science, Vol 20, Iss , Pp 1-6 (2024)
Druh dokumentu: article
ISSN: 2589-8450
DOI: 10.1016/j.sopen.2024.05.005
Popis: Background: Obesity is a known risk factor for cholecystitis and is associated with technical complications during laparoscopic procedures. The present study seeks to assess the association between obesity class and conversion to open (CTO) during laparoscopic cholecystectomy (LC). Methods: Adult acute cholecystitis patients with obesity undergoing non-elective LC were identified in the 2017–2020 Nationwide Readmissions Database. Patients were stratified by obesity class; class 1 (Body Mass Index [BMI] = 30.0–34.9), class 2 (BMI = 35.0–39.9), and class 3 (BMI ≥ 40.0). Multivariable regression models were developed to assess factors associated with CTO and its association with perioperative complications and resource utilization. Results: Of 89,476 patients undergoing LC, 40.6 % had BMI ≥ 40.0. Before adjustment, class 3 obesity was associated with increased rates of CTO compared to class 1–2 (4.6 vs 3.8 %; p
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