The Impact of Obesity on Perioperative Outcomes After Laparoscopic Colorectal Resection

被引:158
|
作者
Makino, Tomoki [1 ]
Shukla, Parul J. [1 ]
Rubino, Francesco [2 ]
Milsom, Jeffrey W. [1 ]
机构
[1] New York Presbyterian Hosp, Sect Colon & Rectal Surg, New York, NY 10065 USA
[2] New York Presbyterian Hosp, Div Metab Surg, New York, NY 10065 USA
关键词
SURGICAL OUTCOMES; VISCERAL OBESITY; PREDICTING CONVERSION; NONOBESE PATIENTS; RECTAL RESECTION; HIGH-DEFINITION; OPEN SURGERY; RISK-FACTOR; COLECTOMY; CANCER;
D O I
10.1097/SLA.0b013e31823dcbf7
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective: It is commonly perceived that surgery in obese patients is associated with worse outcomes than in nonobese patients. Because of the increasing prevalence of obesity and colonic diseases in the world population, the impact of obesity on outcomes of laparoscopic colectomy remains an important subject. The aim of this review was to evaluate the feasibility and safety of laparoscopic colectomy for colorectal diseases in obese patients compared with nonobese patients. Methods: We conducted a comprehensive review for the years 1983-2010 to retrieve all relevant articles. Results: A total of 33 studies were found to be eligible and included 3 matched case control studies and 1 review article. Obesity, often accompanied by preexisting comorbidities, was associated with longer operative times and higher rates of conversion to open procedures mainly because of the problem of exposure and difficulties in dissection. Although some studies showed obesity was associated with increased postoperative morbidity including cardiopulmonary and systemic complications, or ileus leading to longer hospital stay, there was no evidence about the negative impact of obesity on intraoperative blood loss, perioperative mortality, and reoperation rate. Whether obesity is a risk factor for wound infection after laparoscopic colectomy remains unclear. Though sometimes in obese patients, additional number of ports were necessary to successfully complete the procedure laparoscopically, obesity did not influence the number of dissected lymph nodes in cancer surgery. Lastly, the postoperative recovery of gastrointestinal function was similar between obese and nonobese patients. Conclusions: Laparoscopic colorectal surgery appears to be a safe and reasonable option in obese patients offering the benefits of a minimally invasive approach, with no evidence for compromise in treatment of disease.
引用
收藏
页码:228 / 236
页数:9
相关论文
共 50 条
  • [1] The impact of obesity on perioperative outcomes after laparoscopic colorectal resection
    Wilkins, Kirsten Bass
    DISEASES OF THE COLON & RECTUM, 2012, 55 (10) : E352 - E353
  • [2] Impact of obesity on surgical outcomes after colorectal resection
    Benoist, S
    Panis, Y
    Alves, A
    Valleur, P
    AMERICAN JOURNAL OF SURGERY, 2000, 179 (04): : 275 - 281
  • [3] Impact of visceral obesity and sarcobesity on surgical outcomes and recovery after laparoscopic resection for colorectal cancer
    Pedrazzani, C.
    Conti, C.
    Zamboni, G. A.
    Chincarini, M.
    Turri, G.
    Valdegamberi, A.
    Guglielmi, A.
    CLINICAL NUTRITION, 2020, 39 (12) : 3763 - 3770
  • [4] Impact of Obesity on Perioperative Outcomes of Retroperitoneal Laparoscopic Adrenalectomy
    Hu, Qingfeng
    Hang, Zhenyu
    Ho, Yaatfat
    Sun, Chuanyu
    Xu, Ke
    Xia, Guowei
    Ding, Qiang
    UROLOGIA INTERNATIONALIS, 2015, 95 (03) : 361 - 366
  • [5] Impact of laparoscopic resection for colorectal cancer on operative outcomes and survival
    Goh, Brian K. P.
    ANNALS OF SURGERY, 2007, 246 (02) : 338 - 339
  • [6] The impact of obesity on outcomes of laparoscopic surgery for colorectal cancer in Asians
    Park, Ji Won
    Lim, Sang-Woo
    Choi, Hyo Seong
    Jeong, Seung-Yong
    Oh, Jae Hwan
    Lim, Seok-Byung
    SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2010, 24 (07): : 1679 - 1685
  • [7] The impact of obesity on outcomes of laparoscopic surgery for colorectal cancer in Asians
    Ji Won Park
    Sang-Woo Lim
    Hyo Seong Choi
    Seung-Yong Jeong
    Jae Hwan Oh
    Seok-Byung Lim
    Surgical Endoscopy, 2010, 24 : 1679 - 1685
  • [8] Visceral obesity enhances inflammatory response after laparoscopic colorectal resection
    Conti, Cristian
    Pedrazzani, Corrado
    Turri, Giulia
    Gecchele, Gabriele
    Valdegamberi, Alessandro
    Ruzzenente, Andrea
    Zamboni, Giulia A.
    Lippi, Giuseppe
    Guglielmi, Alfredo
    INTERNATIONAL JOURNAL OF CLINICAL PRACTICE, 2021, 75 (11)
  • [9] Impact of age on feasibility and short-term outcomes of ERAS after laparoscopic colorectal resection
    Pedrazzani, Corrado
    Conti, Cristian
    Turri, Giulia
    Lazzarini, Enrico
    Tripepi, Marzia
    Scotton, Giovanni
    Rivelli, Matteo
    Guglielmi, Alfredo
    WORLD JOURNAL OF GASTROINTESTINAL SURGERY, 2019, 11 (10): : 395 - 406
  • [10] Early Postoperative Outcomes After Laparoscopic Segmental Colorectal Resection for Endometriosis: The Impact of Surgical Experience
    Ruffo, Giacomo
    Partelli, Stefano
    Scopelliti, Filippo
    Crippa, Stefano
    Sartori, Alberto
    Barugola, Giuliano
    Rettore, Lorenzo
    Falconi, Massimo
    GASTROENTEROLOGY, 2011, 140 (05) : S1030 - S1030