The impact of obesity on short-term outcomes after the laparoscopic liver resection: a single-institution experience

IF 1.6 4区医学 Q2 SURGERY

Videosurgery and Other Miniinvasive Techniques Pub Date : 2023-12-29 DOI:10.5114/wiitm.2023.134104

Tajda Španring, Špela Turk, Irena Plahuta, Tomislav Magdalenić, Kevin Laufer, Aleks Brumec, Stojan Potrč, Arpad Ivanecz

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引用次数: 0

Abstract

Introduction
Obesity is a major public health problem and a well-known cause of multiple comorbidities. With the increasing application of minimally invasive surgery for benign and malignant liver lesions, the results of laparoscopic liver resection (LLR) in obese patients are of great interest.

Aim
To evaluate the short-term operative outcomes after LLR in obese patients and compare them to patients with normal weight and overweight.

Material and methods
All 235 consecutive patients undergoing LLR from 2008 to 2023 were retrospectively analysed. Patients were categorized into 3 groups based on their body mass index (BMI): normal weight (18.5–24.9 kg/m2), overweight (25–29.9 kg/m2), and obese (≥ 30 kg/m2). The groups were then compared regarding preoperative data and intra- and postoperative outcomes.

Results
Despite higher ASA score and associated comorbidities in the obese group, there were no significant differences in intraoperative complication (blood loss, damage to surrounding structures, conversion rate) between BMI groups (20.8% vs. 16.8% vs. 22.7%, p = 0.619). There were no significant differences in overall morbidity (34.7% vs. 27.7% vs. 29.5%, p = 0.582), as well as major morbidity (15.9% vs. 11.8% vs. 11.4%, p = 0.784) or mortality rates (1.4% vs. 1.7% vs. 0.0%, p = 1.000). Univariate logistic regression did not show BMI or obesity as a predictive variable for intraoperative complication.

Conclusions
Obesity is not a significant, strong risk factor for worse short-term outcomes, and LLR may be considered also in patients with overweight and obesity.

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肥胖对腹腔镜肝脏切除术后短期疗效的影响：单一机构的经验

导言肥胖是一个主要的公共健康问题，也是众所周知的多种并发症的诱因。目的评估肥胖患者腹腔镜肝切除术后的短期手术效果，并与体重正常和超重患者进行比较。材料和方法回顾性分析2008年至2023年期间接受腹腔镜肝切除术的235例连续患者。根据体重指数（BMI）将患者分为三组：正常体重（18.5-24.9 kg/m2）、超重（25-29.9 kg/m2）和肥胖（≥ 30 kg/m2）。结果尽管肥胖组的 ASA 评分和相关合并症较高，但 BMI 组之间在术中并发症（失血、周围结构损伤、转归率）方面没有显著差异（20.8% vs. 16.8% vs. 22.7%，P = 0.619）。总发病率（34.7% vs. 27.7% vs. 29.5%，P = 0.582）、主要发病率（15.9% vs. 11.8% vs. 11.4%，P = 0.784）和死亡率（1.4% vs. 1.7% vs. 0.0%，P = 1.000）均无明显差异。单变量逻辑回归并未显示 BMI 或肥胖是术中并发症的预测变量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Videosurgery and Other Miniinvasive Techniques 医学-外科

CiteScore

2.80

自引率

23.50%

发文量

审稿时长

12 weeks

期刊介绍： Videosurgery and other miniinvasive techniques serves as a forum for exchange of multidisciplinary experiences in fields such as: surgery, gynaecology, urology, gastroenterology, neurosurgery, ENT surgery, cardiac surgery, anaesthesiology and radiology, as well as other branches of medicine dealing with miniinvasive techniques.