ArticleANZ journal of surgery2022
The impact of obesity on outcomes in patients undergoing emergency cholecystectomy for acute cholecystitis.
Article in ANZ journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 20 citations in OpenAlex.
- Analysis of Intraoperative Complications and Outcomes Associated With Obesity During Elective Laparoscopic Cholecystectomy.World journal of surgery · 2026Article
- High visceral adiposity and low skeletal muscle mass independently predict the development of acute cholecystitis in patients with gallstones: a retrospective cohort study.Frontiers in medicine · 2025Article
- Paradigm shift towards emergency cholecystectomy: one site experience of the Chole-QuiC process.Annals of the Royal College of Surgeons of England · 2024Observational
- The Influence of Obesity on Cholecystectomy Outcomes: A Systematic Review of Laparoscopic and Open Approaches.Cureus · 2024Review
- Association of body mass index with post-liver transplant outcomes.Clinical transplantation · 2024Article
- Association between the Dietary Inflammatory Index with gallstone disease: finding from Dena PERSIAN cohort.BMJ open gastroenterology · 2022Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundObesity is a perceived risk factor for poorer surgical outcomes, including increased complication rates and mortality. As obesity rates rise annually, evaluating surgical outcomes in the obese population has become increasingly important. This study examines the impact of obesity on outcomes following emergency laparoscopic cholecystectomy (LC) for acute cholecystitis.
methodsA retrospective review of patients who underwent emergency LC for acute cholecystitis between March 2018 and March 2021 was performed. A total of 326 patients were included and stratified by body mass index (BMI) into two groups: obese (BMI ≥30 kg/m
resultsObese patients were younger than non-obese patients (median, 45 [34.3-56.8] and 48.5 [34.0-66.3] years; p < 0.001) and had a higher prevalence of diabetes (13.5% versus 6.5%; p = 0.034). Higher American Society of Anesthesiologists (ASA) classification (p < 0.001) and operative grading scores were observed in the obese group (76.3% versus 40.6%, p < 0.001), who were more likely to have a distended gallbladder (19.9% versus 11.2%, p = 0.030) and gallstone impaction (23.1% versus 11.8%, p = 0.007) in comparison to the non-obese group. Length of hospital stay, time to definitive surgery, and postoperative complication rates were similar between groups.
conclusionAlthough obesity is associated with greater technical difficulty during surgery than non-obese patients, similar postoperative outcomes were achieved. Obesity should not be a contraindication for LC and can be safely performed in the emergency setting.
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