Is obesity a factor of surgical difficulty in transanal endoscopic surgery?
| Autor: | Anna González-Costa, Sheila Serra-Pla, Laura Mora-López, Xavier Serra-Aracil, Salvador Navarro-Soto, Raquel Lobato-Gil, Esther Gil-Barrionuevo, Anna Pallisera-Lloveras |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Perforation (oil well) 030230 surgery Rectal Tumors Transanal Endoscopic Surgery Lesion 03 medical and health sciences Surgical time 0302 clinical medicine Risk Factors Humans Medicine Obesity Aged Retrospective Studies Rectal Neoplasms business.industry General Medicine Middle Aged medicine.disease Methods observational Surgery Feasibility Studies Female 030211 gastroenterology & hepatology medicine.symptom business Body mass index |
| Zdroj: | The American Journal of Surgery. 220:687-692 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2020.01.027 |
| Popis: | Background The aim of this study is to assess the feasibility of transanal endoscopic surgery (TES) in obese patients. Methods Observational descriptive study evaluating the feasibility of TES in obese rectal tumors between June 2004 and January 2019. Patients were assigned to two groups: body mass index (BMI) Results From 775 patients, 681 were enrolled in the study, 145 (21.3%) of them obese. No statistically significant differences between groups were found with respect to overall morbidity (27, 18.6%).The obese patients presented trends towards shorter mean surgical time (65 min, IQR 48 min), less perforation in the peritoneal cavity (eight, 5.5%), and 133 (91.7%) presented a lower rate of lesion fragmentation. Conclusion There were no significant differences in postoperative outcomes in obese patients (BMI ≥30 kg/m2). TES in those obese patients does not represent a factor of surgical difficulty. |
| Databáze: | OpenAIRE |
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