PURPOSE: This prospective study was conducted to clarify the association between the short-term outcome of laparoscopic colorectal surgery and visceral obesity (VO) based on waist circumference (WC). METHODS: WC and body mass index (BMI) were preoperatively measured in 98 consecutive patients with colorectal cancer undergoing laparoscopic surgery between June 2004 and February 2006. VO was defined as both BMI >or=25 kg/m2 and WC >or=85 cm in male patients, or WC >or=90 cm in female patients. RESULTS: The patients were divided into VO (n=21) and non-VO (n=77). Systemic complications were significantly more frequent in VO than in non-VO (19.0% vs. 3.9%, P=0.036), and VO was the only significant independent risk factor (odds ratio 8.1, P=0.018). BMI itself had no impact on outcome. CONCLUSIONS: WC is a potentially useful index for the assessment of surgical risk in laparoscopic colorectal surgery.
PURPOSE: This prospective study was conducted to clarify the association between the short-term outcome of laparoscopic colorectal surgery and visceral obesity (VO) based on waist circumference (WC). METHODS: WC and body mass index (BMI) were preoperatively measured in 98 consecutive patients with colorectal cancer undergoing laparoscopic surgery between June 2004 and February 2006. VO was defined as both BMI >or=25 kg/m2 and WC >or=85 cm in male patients, or WC >or=90 cm in female patients. RESULTS: The patients were divided into VO (n=21) and non-VO (n=77). Systemic complications were significantly more frequent in VO than in non-VO (19.0% vs. 3.9%, P=0.036), and VO was the only significant independent risk factor (odds ratio 8.1, P=0.018). BMI itself had no impact on outcome. CONCLUSIONS: WC is a potentially useful index for the assessment of surgical risk in laparoscopic colorectal surgery.
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: Ronald M Summers; Jiamin Liu; Daniel L Sussman; Andrew J Dwyer; Bhavya Rehani; Perry J Pickhardt; J Richard Choi; Jianhua Yao Journal: AJR Am J Roentgenol Date: 2012-07 Impact factor: 3.959
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