Laparoscopy decreases complications for obese patients undergoing elective rectal surgery
| Autor: | Gabriela M. Vargas, Nina P. Tamirisa, Taylor S. Riall, Eric Sieloff, Hemalkumar B. Mehta, Abhishek D. Parmar |
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| Rok vydání: | 2015 |
| Předmět: |
Laparoscopic surgery
Adult Male medicine.medical_specialty medicine.medical_treatment Rectum 030230 surgery Article 03 medical and health sciences 0302 clinical medicine Postoperative Complications Risk Factors medicine Humans Obesity Risk factor Laparoscopy Aged Retrospective Studies medicine.diagnostic_test business.industry Postoperative complication Retrospective cohort study Middle Aged Surgery medicine.anatomical_structure Rectal Diseases Treatment Outcome Elective Surgical Procedures 030220 oncology & carcinogenesis Female business Elective Surgical Procedure Abdominal surgery |
| Zdroj: | Surgical endoscopy. 30(5) |
| ISSN: | 1432-2218 |
| Popis: | While there are many reported advantages to laparoscopic surgery compared to open surgery, the impact of a laparoscopic approach on postoperative morbidity in obese patients undergoing rectal surgery has not been studied. Our goal was to determine whether obese patients undergoing laparoscopic rectal surgery experienced the same benefits as non-obese patients. We identified patients undergoing rectal resections using the National Surgical Quality Improvement Project Participant Use Data File. We performed multivariable analyses to determine the independent association between laparoscopy and postoperative complications. A total of 26,437 patients underwent rectal resection. The mean age was 58.5 years, 32.6 % were obese, and 47.2 % had cancer. Laparoscopic procedures were slightly less common in obese patients compared to non-obese patients (36.0 vs. 38.2 %, p = 0.0006). In unadjusted analyses, complications were lower with the laparoscopic approach in both obese (18.9 vs. 32.4 %, p |
| Databáze: | OpenAIRE |
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