Department of Surgery, The Children's Mercy Hospital, Kansas City, Missouri, 64108, USA.
J Surg Res. 2010 Oct;163(2):299-302. doi: 10.1016/j.jss.2010.03.025. Epub 2010 Apr 7.
Obesity is an increasing problem in the pediatric population. Despite abundant data on the impact of obesity in adults, little data exist that examines the impact of obesity on surgical outcomes in children. We reviewed our experience with laparoscopic cholecystectomy to evaluate the impact of obesity.
We performed a retrospective chart review of patients who underwent laparoscopic cholecystectomy between September, 2000 and June, 2009. Demographics, indication, length of operation, length of stay, and complications were examined. Body mass index (BMI) was calculated and BMI percentage according to gender and age was determined.
There were 312 patients identified, 150 patients were normal weight (BMI less than 85%), 65 patients were overweight (BMI = 85%-95%), and 97 patients were obese (BMI > 95%). The mean age of the patients was 14 y (range 0-20), and 76% were female. The overweight and obese groups had more females (P = 0.022 and P = 0.0016) and the obese group was older (P = 0.0003). No differences were found between the groups in the indication for cholecystectomy. There was no difference in operative time, length of stay, or complications between normal weight patients and overweight or obese patients.
Despite the known surgical challenges with overweight patients, laparoscopic cholecystectomy is a safe and equally beneficial procedure in overweight children.
肥胖是儿科人群日益严重的问题。尽管有大量关于成年人肥胖影响的数据，但很少有数据研究肥胖对儿童手术结果的影响。我们回顾了我们的腹腔镜胆囊切除术经验，以评估肥胖的影响。
我们对 2000 年 9 月至 2009 年 6 月期间接受腹腔镜胆囊切除术的患者进行了回顾性图表审查。检查了人口统计学、适应证、手术时间、住院时间和并发症。计算了体重指数（BMI），并根据性别和年龄确定了 BMI 百分比。
共确定了 312 例患者，其中 150 例为正常体重（BMI<85%），65 例为超重（BMI=85%-95%），97 例为肥胖（BMI>95%）。患者的平均年龄为 14 岁（范围 0-20），76%为女性。超重和肥胖组女性比例较高（P=0.022 和 P=0.0016），肥胖组年龄较大（P=0.0003）。胆囊切除术的适应证在各组之间无差异。与正常体重患者相比，超重或肥胖患者的手术时间、住院时间或并发症无差异。
尽管超重患者存在已知的手术挑战，但腹腔镜胆囊切除术对超重儿童来说是一种安全且同样有益的手术。
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