Short-term outcomes of minimally invasive gastrectomy in population with obesity versus population without obesity: the obesity paradox.

IF 2.4 3区医学 Q2 SURGERY

Updates in Surgery Pub Date : 2025-05-03 DOI:10.1007/s13304-025-02144-x

Marco Milone, Anna D'Amore, Gian Luca Baiocchi, Fabio Cianchi, Giovanni De Manzoni, Stefano De Pascale, Maurizio Degiuli, Giorgio Ercolani, Giovanni Ferrari, Laura Fortuna, Romario Uberto Fumagalli, Monica Gualtierotti, Federico Marchesi, Andrea Peri, Francesco Puccetti, Marco Realis Luc, Rossella Reddavid, Riccardo Rosati, Leonardo Solaini, Fabio Staderini, Marina Valente, Jacopo Viganò, Ugo Elmore, Simone Giacopuzzi

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Abstract

This study aims to compare the short-term outcomes after minimally invasive gastrectomy between obese and non-obese population. Our analysis included data of 713 patients from ten departments of surgery. They were divided in non-obese group and obese group with 617 and 96 patients respectively. Significant differences were found in terms of mortality at 90 days (obese: 0 vs non-obese: 27, p = 0.037). Intraoperative data showed no significant differences in terms of conversion (obese: 4 vs non-obese: 43, p = 0.303). About postoperative complications, significant differences between the two groups were found only in terms of surgical infection (obese: 13 vs non-obese: 38, p = 0.009). About oncological outcomes, no differences were found about retrieved lymph nodes (obese: 30.71 ± 18.44 vs non-obese: 32.93 ± 17.62, p = 0.596) and about surgical radicality (R0) (obese:94 vs non-obese:594, p = 0.415). Obesity doesn't worsen postoperative outcomes and minimally invasive gastrectomy in obese patients is related to a lower postoperative mortality.

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肥胖人群与非肥胖人群微创胃切除术的短期疗效：肥胖悖论。

本研究旨在比较肥胖和非肥胖人群微创胃切除术后的短期预后。我们的分析包括来自10个外科的713例患者的数据。分为非肥胖组617例，肥胖组96例。在90天死亡率方面发现了显著差异（肥胖：0 vs非肥胖：27，p = 0.037）。术中数据显示转换方面无显著差异（肥胖：4 vs非肥胖：43，p = 0.303）。关于术后并发症，两组仅在手术感染方面存在显著差异（肥胖组：13例，非肥胖组：38例，p = 0.009）。在肿瘤预后方面，在淋巴结清扫方面（肥胖患者：30.71±18.44 vs非肥胖患者：32.93±17.62,p = 0.596）和手术根治性方面（R0）（肥胖患者：94 vs非肥胖患者：594，p = 0.415）均无差异。肥胖不会使术后预后恶化，肥胖患者行微创胃切除术可降低术后死亡率。

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

Updates in Surgery Medicine-Surgery

CiteScore

4.50

自引率

7.70%

发文量

208

期刊介绍： Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future. Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts. Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.