ArticleBMC anesthesiology2016
The impact of body mass index on short-term surgical outcomes after laparoscopic hepatectomy, a retrospective study.
Article in BMC anesthesiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- The impact of obesity on short-term outcomes after the laparoscopic liver resection: a single-institution experience.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024Article
- Advantages of robotic gastrectomy for overweight patients with gastric cancer: a comparison study of robotic gastrectomy and conventional laparoscopic gastrectomy.Surgery today · 2023Review
- Impact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy.European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2023Article
- Impact of body mass index on perioperative outcomes of laparoscopic major hepatectomies.Surgery · 2023Article
- Article
- The impact of body mass index on short-term and long-term surgical outcomes of laparoscopic hepatectomy in liver carcinoma patients: a retrospective study.World journal of surgical oncology · 2022Article
- Superiority of laparoscopic liver resection to open liver resection in obese individuals with hepatocellular carcinoma: A retrospective study.Annals of gastroenterological surgery · 2022Article
- Laparoscopic hepatectomy reduces postoperative complications and hospital stay in overweight and obese patients.World journal of gastrointestinal surgery · 2021Article
- A novel model for prediction of pure laparoscopic liver resection surgical difficulty.Surgical endoscopy · 2017Article
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Abstract
backgroundSurgeons may expect technical difficulties and worse outcomes when performing laparoscopic hepatectomy (LH) on obese patients. The aim of this study is to assess the impact of body mass index (BMI) on short-term surgical outcomes and to verify risk factors of conversion rate and complications of LH.
methodsData were collected from 551 patients who underwent attempted LH between August 1998 and April 2013. Patients were classified into four groups depending on their BMI according to the WHO's definition of obesity for Asia-Pacific region: underweight <18.5 kg/m(2) (Group1); normal 18.5-23.9 kg/m(2) (Group2); overweight 24-27.9 kg/m(2) (Group3); obese ≥ 28 kg/m(2) (Group4) respectively. Short-term surgical outcomes were compared across the BMI categories. Possible risk factors concerned conversion rate and complications were analyzed.
resultsThe overall conversion rate of the 551 patients was 13.07 %. Conversion rate for Group 1, 2, 3, and 4 were 14.3 % (n = 5), 11.2 % (n = 38), 13.0 % (n = 19), and 34.5 % (n = 10) respectively. Patients within the obese group had a much higher conversion rate. The overall complications rate was 11.98 %, where the complication for Group 1, 2, 3, and 4 were 22.9 % (n = 8), 12.7 % (n = 43), 18.2 % (n = 12), and 10.3 % (n = 3) respectively. Patients within the underweight group had a higher complication rate, but it did not reach statistic difference. Obesity and surgical site of left lobe were independent risk factors of conversion. Age, abdominal surgery history, and type of left and right lobe resection were independent risk factors for complications.
conclusionsIn China, obesity increases risk of conversion rate but it dose not affect surgical complications and other short-outcomes after LH.
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