BACKGROUND: Because it has been suggested that obese patients may be at higher risk of morbidity and mortality after surgery, we conducted a prospective case-matched study to compare outcomes of elective laparoscopic colorectal surgery in obese and nonobese patients. METHODS: Sixty-two consecutive nonselected obese patients (body mass index > or =30 kg/m(2)) were matched with 118 nonobese patients. Postsurgical mortality and morbidity were defined as in-hospital death and complications. RESULTS: Cardiopulmonary comorbidities were significantly more frequent in obese compared with nonobese patients (44% vs 24%, P < .01). Obesity was significantly associated with increased mean operating time (268 +/- 74 min vs 232 +/- 59 min, P < .001), and conversion rate (32% vs 14%, P < .01). The mortality rate was nil. The overall postsurgical morbidity rate (31% vs 19%, P = not significant) and mean hospital stay (11 +/- 10 days vs 9 +/- 8 days, P = not significant) were similar in obese and nonobese patients. CONCLUSIONS: The results of this large case-matched study suggest that laparoscopic approach for colorectal surgery is feasible and safe in obese patients.
BACKGROUND: Because it has been suggested that obesepatients may be at higher risk of morbidity and mortality after surgery, we conducted a prospective case-matched study to compare outcomes of elective laparoscopic colorectal surgery in obese and nonobese patients. METHODS: Sixty-two consecutive nonselected obesepatients (body mass index > or =30 kg/m(2)) were matched with 118 nonobese patients. Postsurgical mortality and morbidity were defined as in-hospital death and complications. RESULTS: Cardiopulmonary comorbidities were significantly more frequent in obese compared with nonobese patients (44% vs 24%, P < .01). Obesity was significantly associated with increased mean operating time (268 +/- 74 min vs 232 +/- 59 min, P < .001), and conversion rate (32% vs 14%, P < .01). The mortality rate was nil. The overall postsurgical morbidity rate (31% vs 19%, P = not significant) and mean hospital stay (11 +/- 10 days vs 9 +/- 8 days, P = not significant) were similar in obese and nonobese patients. CONCLUSIONS: The results of this large case-matched study suggest that laparoscopic approach for colorectal surgery is feasible and safe in obesepatients.
Authors: Bradley J Champagne; Madhuri Nishtala; Justin T Brady; Benjamin P Crawshaw; Morris E Franklin; Conor P Delaney; Scott R Steele Journal: Int J Colorectal Dis Date: 2017-07-14 Impact factor: 2.571
Authors: Andrea Vignali; Paola De Nardi; Luca Ghirardelli; Saverio Di Palo; Carlo Staudacher Journal: World J Gastroenterol Date: 2013-11-14 Impact factor: 5.742
Authors: Hamza Guend; David Y Lee; Elizabeth A Myers; Nipa D Gandhi; Vesna Cekic; Richard L Whelan Journal: Surg Endosc Date: 2014-12-06 Impact factor: 4.584
Authors: Celeste Y Kang; Wissam J Halabi; Obaid O Chaudhry; Vinh Nguyen; Noor Ketana; Joseph C Carmichael; Alessio Pigazzi; Michael J Stamos; Steven Mills Journal: J Gastrointest Surg Date: 2012-12-01 Impact factor: 3.452