Evidence map›Paper›PMID 40919120›Full record

ArticleFrontiers in surgery2025

Outcomes of high BMI colorectal cancer patients with natural orifice specimen extraction surgery: a propensity-score matching study.

Chenkai Zhang, Hao Zhang, Wenyang Li, Songtao Yu, Haonan Qi, Chunlin Wang, Ibatullin Artur, Guiyu Wang

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Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

8 authors.

Chenkai Zhang *Department of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Hao Zhang *Department of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Wenyang LiDepartment of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Songtao YuDepartment of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Haonan QiDepartment of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Chunlin WangDepartment of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.
Ibatullin ArturBashkir State Medical University, Ufa, Russia.
Guiyu WangDepartment of Colorectal Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Natural orifice specimen extraction surgery (NOSES) is widely used for colorectal cancer. However, there is limited study regarding the outcomes of patients with high BMI who undergo NOSES surgery for colorectal cancer. Methods: This retrospective study included 251 patients (including 205 Non-High BMI and 46 High BMI patients) who underwent NOSES for colorectal cancer between January 2013 and December 2018. Outcomes related to surgery, anal function and long-term survisval were compared between the Non-High BMI and High BMI patients with the propensity-score matching (PSM) method. Age, gender, tumor location (sigmoid/rectum), preoperative CEA, CA199, T stage and N stage were considered as covariates for PSM. Results: After matching, 44 patients in the Non-High BMI group and 44 patients in the High BMI group were eligible for analysis. No significant differences were observed between the groups in terms of operative time, blood loss, time to first flatus, time to first diet, postoperative hospital stays, positive margin, postoperative complication, conversion to open surgery and pathological outcomes (all Conclusion: With careful preoperative evaluation, High-BMI patients can successfully undergo NOSES surgery and achieve favorable outcomes.

Indexed as

BMIcolorectal cancernosesoutcomessurgery

Identifiers

PMID40919120
PMCPMC12410070

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