Is Laparoscopic Colorectal Cancer Surgery in Obese Patients Associated with an Increased Risk? Short-Term Results from a Single Center Study of 425 Patients
Is Laparoscopic Colorectal Cancer Surgery in Obese Patients Associated with an Increased Risk? Short-Term Results from a Single Center Study of 425 Patients
复制标题
DOI：
10.1007/s11605-012-1928-0
复制
发表时间：
2012-08-01
影响因子：
3.2
通讯作者：
Ovesen, Henrik
中科院分区：
文献类型：
--
作者：
Poulsen, Martin;Ovesen, Henrik
在腹腔镜结直肠癌手术中，一些作者仍然报道肥胖患者的中转率、手术持续时间和术后发病率随着住院时间的延长而增加。在我们科室，我们的印象是肥胖者的腹腔镜手术是可行和安全的，因此我们评估了肥胖者的腹腔镜结直肠癌手术，并测量了其对短期结果的影响。在2004年11月至2010年5月期间，我们中心的425例结直肠癌患者接受了腹腔镜手术。93名患者的身体质量指数(BMI)为千分之30欧元。体重指数为千分之30的患者的人口学数据和短期结果与体重指数为千分之30的患者的相同数据进行了比较。在体重指数为千分之30的患者中，中位手术时间显著更长(240vs.225分钟，p=0.021)，平均失血量显著增加(348vs.285ml，p=0.034)。两组之间没有发现其他显著差异，包括中转开腹手术和术后并发症。腹腔镜结直肠癌手术对于BMI大于30的肥胖患者是可行和安全的，且患者不会经历术后并发症或死亡率的增加风险。
In laparoscopic colorectal cancer surgery, some authors still report increased conversion rates, operative duration and postoperative morbidity with longer hospital stay in obese patients. In our department, we had the impression that laparoscopic surgery in the obese was feasible and safe, leading to this study in which we evaluate laparoscopic surgery for colorectal cancers in the obese and measure the impact on short-term results.In the period from November 2004 to May 2010, 425 patients were laparoscopically operated for a colon or rectal cancer in our center. Ninety-three patients had a body mass index (BMI) a parts per thousand yenaEuro parts per thousand 30. Demographic data and short-term outcome in patients with a BMI a parts per thousand yenaEuro parts per thousand 30 were compared to the same data in patients with a BMI < 30.The median operative time was significantly longer (240 vs. 225 min, p = 0.021) and the mean blood loss was significantly higher (348 vs. 285 ml, p = 0.034) in the group of patients with BMI a parts per thousand yenaEuro parts per thousand 30. No other significant differences, including conversion to open surgery and postoperative morbidity, were found between the two groups.Laparoscopic colorectal cancer surgery is feasible and safe in obese patients with a BMI above 30, without the patients experiencing an increased risk of postoperative morbidity or mortality.