Single-incision laparoscopic surgery for diverticulitis in overweight patients
| Autor: | Angelika Alfes, KH Vestweber, Claudia Paul, Jasmina Hahn, Andreas D. Rink, Boris Vestweber |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Laparoscopic surgery medicine.medical_specialty Databases Factual medicine.medical_treatment Risk Assessment Severity of Illness Index Statistics Nonparametric Body Mass Index Diverticulitis Colonic Cohort Studies Postoperative Complications Reference Values medicine Humans Minimally Invasive Surgical Procedures Obesity Survival rate Colectomy Aged Retrospective Studies Aged 80 and over Chi-Square Distribution business.industry Sigmoid colon Middle Aged Overweight Diverticulitis medicine.disease Conversion to Open Surgery Obesity Morbid Surgery Survival Rate Treatment Outcome medicine.anatomical_structure Elective Surgical Procedures Cardiothoracic surgery Female Laparoscopy business Body mass index Follow-Up Studies Abdominal surgery |
| Zdroj: | Langenbeck's Archives of Surgery. 400:797-804 |
| ISSN: | 1435-2451 1435-2443 |
| DOI: | 10.1007/s00423-015-1333-8 |
| Popis: | Single-incision laparoscopic surgery (SILS) has been introduced as a new technique for the treatment of various colorectal diseases. Recurrent or complicated diverticulitis of the sigmoid colon is a frequent indication for minimally invasive sigmoid colectomy. The aim of this study was to investigate the impact of obesity on the outcome of SILS sigmoid colectomy.From September 2009 to October 2014, data from 377 patients who had intended SILS sigmoid colectomy for diverticulitis at our institution were collected in a prospective database. The patients were categorized in the following subgroups: group 1 (normal weight, body mass index (BMI) 25 kg/m(2)), group 2 (overweight, BMI 25-29.9 kg/m(2)), group 3 (obesity, BMI 30-34.9 kg/m(2)), and group 4 (morbid obesity, BMI 35 kg/m(2)).The groups were equivalent for sex, age, status of diverticulitis, the presence of acute inflammation in the specimen, and the percentage of teaching operations, but the percentage of patients with accompanying diseases was significantly more frequent in groups 2, 3, and 4 (p = 0.04, 0.008, and 0.018, respectively). As compared to group 1, the conversion rate was significantly increased in groups 2 and 4 (2.3 vs. 9.3% (p = 0.013) and 2.3 vs. 12.5% (p = 0.017), respectively). The duration of surgery, hospitalization, and morbidity did not differ between the four groups.Up to a body mass index of 35 kg/m(2), increased body weight does not significantly reduce the feasibility and outcome of single-incision laparoscopic surgery for diverticulitis. |
| Databáze: | OpenAIRE |
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