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Special Problems: Massive Obesity

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Abstract

Massively obese patients should increasingly be considered acceptable candidates for basic and advanced minimal access laparoscopic procedures as technology and surgical skills improve. Massive obesity denotes a body mass index of 40 or greater, where body mass index is calculated as weight in kilograms divided by the square of the height in meters (kg/m2).

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Selected References

  • Lord MD, Gourevitch A. The peritoneal anatomy of the spleen with special reference to the operation of partial gastrectomy. Br J Surg 1965;52:202–204.

    Article  PubMed  CAS  Google Scholar 

  • Mason EE, Gordy DD, Chernigoy FA, Printen KJ. Fatty acid toxicity. Surg Gynecol Obstet 1971;133:992–998.

    PubMed  CAS  Google Scholar 

  • Millard JA, Hill BB, Cook PS, et al. Intermittent sequential pneumatic compression in prevention of venous stasis associated with pneumoperitoneum during laparoscopic cholecystectomy. Arch Surg 1993;128:914–919.

    Article  PubMed  CAS  Google Scholar 

  • Paul DR, Hoyt JL, Boutros AR. Cardiovascular and respiratory changes in response to change of posture in the very obese. Anesthesiology 1976;45:73–78.

    Article  PubMed  CAS  Google Scholar 

  • Safran DB, Orlando R III. Physiologic effects of pneumoperitoneum. Am J Surg 1994;167:281–286.

    Article  PubMed  CAS  Google Scholar 

  • Stellato TA. History of laparoscopic surgery. Surg Clin North Am 1992;72:997–1002.

    PubMed  CAS  Google Scholar 

  • Wilson YG, Allen PE, Skidmore R., Baker AR. Influence of compression stockings on lower-limb venous hemodynamics during laparoscopic cholecystectomy. Br J Surg 1994;81:841–844.

    Article  PubMed  CAS  Google Scholar 

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© 1999 Society of American Gastrointestinal Endoscopic Surgeons

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Doherty, C. (1999). Special Problems: Massive Obesity. In: Scott-Conner, C.E.H. (eds) The SAGES Manual. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-88454-2_12

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  • DOI: https://doi.org/10.1007/978-3-642-88454-2_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-66330-0

  • Online ISBN: 978-3-642-88454-2

  • eBook Packages: Springer Book Archive

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