Obese patients have similar short-term outcomes to nonobese in laparoscopic colorectal surgery |
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Authors: | Manish Chand Henry D De&rsquo Ath Muhammed Siddiqui Chetanya Mehta Shahnawaz Rasheed James Bromilow Tahseen Qureshi |
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Institution: | Manish Chand, Henry D De’Ath, Muhammed Siddiqui, Chetanya Mehta, Shahnawaz Rasheed, James Bromilow, Tahseen Qureshi, Department of Surgery, Poole General Hospital, Poole BH15 2JB, United Kingdom |
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Abstract: | AIM: To determine whether obese patients undergoing laparoscopic surgery within an enhanced recovery program had worse short-term outcomes.
METHODS: A prospective study of consecutive patients undergoing laparoscopic colorectal resection was carried out between 2008 and 2011 in a single institution. Patients were divided in groups based on body mass index (BMI). Short-term outcomes including operative data, length of stay, complications and readmission rates were recorded and compared between the groups. Continuous data were analysed using t-test or one-way Analysis of Variance. χ2 test was used to compare categorical data.
RESULTS: Two hundred and fifty four patients were included over the study period. The majority of individuals (41.7%) recruited were of a healthy weight (BMI < 25), whilst 50 patients were classified as obese (19.6%). Patients were matched in terms of the presence of co-morbidities and previous abdominal surgery. Obese patients were found to have a statistically significant difference in The American Society of Anesthesiologists grade. Length of surgery and intra-operative blood loss were no different according to BMI.
CONCLUSION: Obesity (BMI > 25) does not lead to worse short-term outcomes in laparoscopic colorectal surgery and therefore such patients should not be precluded from laparoscopic surgery. |
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Keywords: | Laparoscopic surgery Colorectal cancer Obese: body mass index Outcomes |
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