Videosurgery and Other Miniinvasive Techniques最新文献_第8页

Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis 评价胃癌患者行胃切除术后增强的术后恢复:一项系统回顾和荟萃分析

4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2023-01-01 DOI: 10.5114/wiitm.2023.131723

Ying Wang, Shengrui Luo, Shanshan Wang

{"title":"Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis","authors":"Ying Wang, Shengrui Luo, Shanshan Wang","doi":"10.5114/wiitm.2023.131723","DOIUrl":"https://doi.org/10.5114/wiitm.2023.131723","url":null,"abstract":"AMA Wang Y, Luo S, Wang S. Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. 2023. doi:10.5114/wiitm.2023.131723. APA Wang, Y., Luo, S., & Wang, S. (2023). Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. https://doi.org/10.5114/wiitm.2023.131723 Chicago Wang, Ying, Shengrui Luo, and Shanshan Wang. 2023. \"Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis\". Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. doi:10.5114/wiitm.2023.131723. Harvard Wang, Y., Luo, S., and Wang, S. (2023). Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. https://doi.org/10.5114/wiitm.2023.131723 MLA Wang, Ying et al. \"Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis.\" Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne, 2023. doi:10.5114/wiitm.2023.131723. Vancouver Wang Y, Luo S, Wang S. Evaluation of enhanced recovery after surgery for gastric cancer patients undergoing gastrectomy: a systematic review and meta-analysis. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. 2023. doi:10.5114/wiitm.2023.131723.","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"115 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135802040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transarterial chemoembolization with insertion of radioactive seeds for hepatocellular carcinoma 经动脉化疗栓塞植入放射性粒子治疗肝细胞癌

4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2023-01-01 DOI: 10.5114/wiitm.2023.131539

You-Bin Wang, Wei Zhang, Le Bao, Yun Lu, Jiao Hong

{"title":"Transarterial chemoembolization with insertion of radioactive seeds for hepatocellular carcinoma","authors":"You-Bin Wang, Wei Zhang, Le Bao, Yun Lu, Jiao Hong","doi":"10.5114/wiitm.2023.131539","DOIUrl":"https://doi.org/10.5114/wiitm.2023.131539","url":null,"abstract":"AMA Wang Y, Zhang W, Bao L, Lu Y, Hong J. Transarterial chemoembolization with insertion of radioactive seeds for hepatocellular carcinoma. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. 2023. doi:10.5114/wiitm.2023.131539. APA Wang, Y., Zhang, W., Bao, L., Lu, Y., & Hong, J. (2023). Transarterial chemoembolization with insertion of radioactive seeds for hepatocellular carcinoma. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. https://doi.org/10.5114/wiitm.2023.131539 Chicago Wang, You-Bin, Wei Zhang, Le Bao, Yun Lu, and Jiao Hong. 2023. \"Transarterial chemoembolization with insertion of radioactive seeds for hepatocellular carcinoma\". Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. doi:10.5114/wiitm.2023.131539. Harvard Wang, Y., Zhang, W., Bao, L., Lu, Y., and Hong, J. (2023). Transarterial chemoembolization with insertion of radioactive seeds for hepatocellular carcinoma. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. https://doi.org/10.5114/wiitm.2023.131539 MLA Wang, You-Bin et al. \"Transarterial chemoembolization with insertion of radioactive seeds for hepatocellular carcinoma.\" Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne, 2023. doi:10.5114/wiitm.2023.131539. Vancouver Wang Y, Zhang W, Bao L, Lu Y, Hong J. Transarterial chemoembolization with insertion of radioactive seeds for hepatocellular carcinoma. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. 2023. doi:10.5114/wiitm.2023.131539.","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135650015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic parathyroidectomy versus open parathyroidectomy for patients with refractory secondary hyperparathyroidism: a meta-analysis 内镜下甲状旁腺切除术与开放式甲状旁腺切除术治疗难治性继发性甲状旁腺功能亢进的meta分析

4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2023-01-01 DOI: 10.5114/wiitm.2023.132439

Wei Xu, Guoyuan Lu, Lifeng Gong, Weigang Tang, Jingkui Lu

引用次数: 0

Systematic review and meta-analysis of low-dose CT-driven biopsy for pulmonary nodules 低剂量ct驱动肺结节活检的系统评价和荟萃分析

4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2023-01-01 DOI: 10.5114/wiitm.2023.131563

Ying Zhao, Kun Xiong, Ya-Nan Lv

{"title":"Systematic review and meta-analysis of low-dose CT-driven biopsy for pulmonary nodules","authors":"Ying Zhao, Kun Xiong, Ya-Nan Lv","doi":"10.5114/wiitm.2023.131563","DOIUrl":"https://doi.org/10.5114/wiitm.2023.131563","url":null,"abstract":"AMA Zhao Y, Xiong K, Lv Y. Systematic review and meta-analysis of low-dose CT-driven biopsy for pulmonary nodules. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. 2023. doi:10.5114/wiitm.2023.131563. APA Zhao, Y., Xiong, K., & Lv, Y. (2023). Systematic review and meta-analysis of low-dose CT-driven biopsy for pulmonary nodules. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. https://doi.org/10.5114/wiitm.2023.131563 Chicago Zhao, Ying, Kun Xiong, and Ya-Nan Lv. 2023. \"Systematic review and meta-analysis of low-dose CT-driven biopsy for pulmonary nodules\". Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. doi:10.5114/wiitm.2023.131563. Harvard Zhao, Y., Xiong, K., and Lv, Y. (2023). Systematic review and meta-analysis of low-dose CT-driven biopsy for pulmonary nodules. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. https://doi.org/10.5114/wiitm.2023.131563 MLA Zhao, Ying et al. \"Systematic review and meta-analysis of low-dose CT-driven biopsy for pulmonary nodules.\" Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne, 2023. doi:10.5114/wiitm.2023.131563. Vancouver Zhao Y, Xiong K, Lv Y. Systematic review and meta-analysis of low-dose CT-driven biopsy for pulmonary nodules. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. 2023. doi:10.5114/wiitm.2023.131563.","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135700165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Protection from phototoxic injury during laparoscopic surgery in patients with erythropoietic protoporphyria 促红细胞生成性原生卟啉症患者腹腔镜手术中对光毒性损伤的保护

IF 1.7 4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2022-06-01 DOI: 10.5114/wiitm.2022.115003

Konrad Pielaciński, M. Kwaśny, W. Górski, P. Paluszkiewicz

引用次数: 0

Prevention of catheter tip malposition with an ultrasound-guided finger-pressure method to block the internal jugular vein during PICC placement: a meta-analysis 超声引导指压法阻断颈内静脉置入PICC预防导管尖端错位的meta分析

IF 1.7 4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2022-04-04 DOI: 10.5114/wiitm.2022.115198

Yan Zheng, Hua-Jing Zhou, Nian Tao, Yun Tian, S. Qin, Biyong Qin, Yu Xia

{"title":"Prevention of catheter tip malposition with an ultrasound-guided finger-pressure method to block the internal jugular vein during PICC placement: a meta-analysis","authors":"Yan Zheng, Hua-Jing Zhou, Nian Tao, Yun Tian, S. Qin, Biyong Qin, Yu Xia","doi":"10.5114/wiitm.2022.115198","DOIUrl":"https://doi.org/10.5114/wiitm.2022.115198","url":null,"abstract":"Introduction Peripherally inserted central catheters (PICC) are a type of deep venipuncture, for which the catheter tip malposition rate is high. Aim To examine the feasibility of preventing catheter tip malposition during PICC placement using an ultrasound-guided finger-pressure method to block the internal jugular vein. Material and methods We conducted a double-blinded randomized controlled trial (RCT) at a tertiary public hospital in Hubei province, China. A total of 600 patients were recruited and randomly allocated to the ultrasound-guided finger compression method (UGFCM) and traditional partial head method (TPHM) group (n = 300/group). Incidence of catheter tip malposition was assessed as the primary outcome of the study. A systematic literature review and meta-analysis was performed. We searched MEDLINE, EMBASE, Cochrane Library, China-National Knowledge Infrastructure, and Chinese Biomedicine Database and performed publication bias and sensitivity analyses on 10 extracted studies. Results There were no significant differences in baseline demographic and clinical characteristics between the two groups (p > 0.05). Overall incidence of catheter tip malposition was significantly lower in the UGFCM and TPHM group (1.67% vs. 10.3%) and particularly the incidence of malposition in the internal jugular vein (1% vs. 9%). In the meta-analysis of 10 eligible studies, with 1263 cases using the UGFCM method while 1261 adopted the TPHM method, the results showed that the incidence of catheter tip malposition was significantly lower in the group using the UGFCM method (OR = 0.17, 95% CI: 0.11–0.27, p < 0.01), which is in line with the results of our RCT study. Conclusions This study may add valuable evidence on adopting the finger-pressure method for blocking neck veins to reduce the incidence of catheter tip malposition, particularly in the internal jugular vein.","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"17 1","pages":"289 - 298"},"PeriodicalIF":1.7,"publicationDate":"2022-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44638927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Single anastomosis sleeve ileal bypass (SASI): a single-center initial report 单吻合袖回肠旁路(SASI):单中心初步报告

IF 1.7 4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2022-03-25 DOI: 10.5114/wiitm.2022.114943

W. Tarnowski, K. Barski, P. Jaworski, A. Binda, Emilia Kudlicka, M. Wąsowski, P. Jankowski

{"title":"Single anastomosis sleeve ileal bypass (SASI): a single-center initial report","authors":"W. Tarnowski, K. Barski, P. Jaworski, A. Binda, Emilia Kudlicka, M. Wąsowski, P. Jankowski","doi":"10.5114/wiitm.2022.114943","DOIUrl":"https://doi.org/10.5114/wiitm.2022.114943","url":null,"abstract":"Introduction Single anastomosis sleeve ileal (SASI) bypass is a recently introduced bariatric procedure that combines the advantages of restrictive and malabsorptive operations, at the same time reducing the risk of nutrient deficiencies by maintaining passage through all the alimentary tract. Aim To present the outcomes of the first group of patients that underwent the SASI bypass in our clinic and assess the safety and efficiency of the procedure. Material and methods We analyzed patients qualified for SASI bypass between January 2020 and February 2021. Retrospective analysis was performed and outpatient treatment results were evaluated. Results A group of nineteen patients (18 women) underwent SASI bypass. The mean preoperative body mass index was 40.3 ±3.74 kg/m2, mean age: 43.3 ±7.83. The mean excess weight loss (% EWL) after 3, 6, 9 and 12 months of follow-up was 43%, 56%, 72.5%, 88.83% respectively. Remission of obesity related diseases was as followed: hypertension in 8 patients (80%, p < 0.05), type II diabetes in 6 patients (100%, p < 0.05), pre-diabetes in 4 patients (50%, p = 0.13). Complications occurred in 4 cases: hematemesis, dysphagia, diarrhea, short bowel syndrome. A patient who developed symptoms of short bowel syndrome was reoperated on and gastrointestinal anastomosis was disconnected. Postoperatively, unwanted symptoms resolved and a good bariatric effect was preserved. Conclusions Our first experience is consistent with that reported in previous studies: very good EWL and a rapid resolution of obesity related diseases after SASI bypass as well as safety of the procedure.","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"17 1","pages":"365 - 371"},"PeriodicalIF":1.7,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45003204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Risk prediction models for difficult cholecystectomy 困难胆囊切除术的风险预测模型

IF 1.7 4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2022-03-16 DOI: 10.5114/wiitm.2022.114539

Gan Chen, Min Li, Bao-qiang Cao, Qing Xu, Zhigong Zhang

{"title":"Risk prediction models for difficult cholecystectomy","authors":"Gan Chen, Min Li, Bao-qiang Cao, Qing Xu, Zhigong Zhang","doi":"10.5114/wiitm.2022.114539","DOIUrl":"https://doi.org/10.5114/wiitm.2022.114539","url":null,"abstract":"Introduction In some cases, laparoscopic cholecystectomy (LC) may be very difficult and easily converted to laparotomy, causing many complications to patients and prolonging the prognosis time. Thus, to evaluate the difficulty of LC before operation is extremely important. Aim To explore the risk factors of difficult cholecystectomy (DC) and to establish a risk prediction model of DC. Material and methods The data of 201patients who underwent cholecystectomy from 1 January 2018 to 10 November 2019 were analysed retrospectively. The highest quartile (P75) of cholecystectomy operation time was used as a cutting point of DC (≥ P75) and NLC (< P75). Logistic regression was used to analyse the influencing factors of DC, and its risk model was constructed for prediction. Results Multivariate logistic regression analysis showed that body mass index (BMI) > 25 kg/m2, white blood cell (WBC) > 10 × 109/l, calculus incarcerated in neck of gallbladder, frequency of acute cholecystitis in the last 2 months > 4 times, thickness of gallbladder wall > 0.5 cm, and maximum diameter of gallstone > 2 cm were independent risk factors for DC. The prediction efficiency of the logistic regression equation was 0.879 (χ2 = 1.457, p > 0.05). Conclusions Based on analysis of risk factors, a logistic risk prediction model for difficult cholecystectomy was established. This model can be used to predict the difficulty of cholecystectomy.","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"17 1","pages":"303 - 308"},"PeriodicalIF":1.7,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44069716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Revisional operations among patients after surgical treatment of obesity: a multicenter Polish Revision Obesity Surgery Study (PROSS) 肥胖症手术治疗后患者的翻修手术:一项多中心波兰翻修型肥胖症手术研究(PROSS)

IF 1.7 4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2022-03-16 DOI: 10.5114/wiitm.2022.114525

P. Major, P. Zarzycki, Justyna Rymarowicz, M. Wysocki, Michał Łabul, H. R. Hady, Paulina Głuszyńska, P. Myśliwiec, Grzegorz Kowalski, M. Orłowski, J. Szeliga, Wojciech Kupczyk, W. Tarnowski, Paweł Lech, Natalia Dowgiałło-gornowicz, M. Proczko-Stepaniak, M. Walędziak, P. Szymanski, T. Stefura, M. Pędziwiatr

{"title":"Revisional operations among patients after surgical treatment of obesity: a multicenter Polish Revision Obesity Surgery Study (PROSS)","authors":"P. Major, P. Zarzycki, Justyna Rymarowicz, M. Wysocki, Michał Łabul, H. R. Hady, Paulina Głuszyńska, P. Myśliwiec, Grzegorz Kowalski, M. Orłowski, J. Szeliga, Wojciech Kupczyk, W. Tarnowski, Paweł Lech, Natalia Dowgiałło-gornowicz, M. Proczko-Stepaniak, M. Walędziak, P. Szymanski, T. Stefura, M. Pędziwiatr","doi":"10.5114/wiitm.2022.114525","DOIUrl":"https://doi.org/10.5114/wiitm.2022.114525","url":null,"abstract":"Introduction Revisional surgery is more technically challenging and associated with increased morbidity and mortality. Nevertheless, the frequency of revisional bariatric surgery (RBS) is increasing. Therefore, investigating this group of patients appears to be currently valid. Aim The objective of this multicenter study was to collect, systematize and present the available data on RBS after surgical treatment of morbid obesity among Polish patients. Material and methods This multicenter study included a retrospective analysis of a prospectively maintained database. Outcomes included an analysis of the indications for RBS, the type of surgery most frequently chosen as RBS and the course of the perioperative period of treatment among patients undergoing RBS. Results The group consisted of 799 patients (624 (78.1%) women, 175 (21.9%) men). The mean age was 38.96 ±9.72 years. Recurrence of obesity was the most common indication for RBS. The most frequently performed RBS procedures were one anastomosis gastric bypass (OAGB) – 294 (36.8%) patients, Roux-en-Y gastric bypass (RYGB) – 289 (36.17%) patients and sleeve gastrectomy (SG) – 172 (21.52%) patients. After primary surgery 63.58% of patients achieved sufficient weight loss, but after RBS only 38.87%. Complications were noted in 222 (27.78%) cases after RBS with GERD being the most common – 117 (14.64%) patients. Conclusions RBS most often concerns patients after SG. The main indication for RBS is weight regain. OAGB and RYGB were the two most frequently chosen types of RBS. Secondary operations lead to further weight reduction. However, RBS are associated with a significant risk of complications.","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"17 1","pages":"372 - 379"},"PeriodicalIF":1.7,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43987506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Does high body mass index influence the postoperative complications and long-term survival in patients with esophageal squamous cell carcinoma after minimally invasive esophagectomy? 高体重指数是否影响食管鳞状细胞癌患者微创食管切除术后的并发症和长期生存率？

IF 1.7 4区医学

Videosurgery and Other Miniinvasive Techniques Pub Date : 2022-03-16 DOI: 10.5114/wiitm.2022.114526

Yingjian Wang, T. Bao, Kunkun Li, Xiao-long Zhao, W. Guo

{"title":"Does high body mass index influence the postoperative complications and long-term survival in patients with esophageal squamous cell carcinoma after minimally invasive esophagectomy?","authors":"Yingjian Wang, T. Bao, Kunkun Li, Xiao-long Zhao, W. Guo","doi":"10.5114/wiitm.2022.114526","DOIUrl":"https://doi.org/10.5114/wiitm.2022.114526","url":null,"abstract":"Introduction The prognostic value of high body mass index (BMI) in patients with esophageal squamous cell carcinoma (ESCC) is still controversial. Aim To evaluate the impact of high BMI on postoperative complications and survival after minimally invasion esophagectomy (MIE) for ESCC patients. Material and methods Three hundred and fourteen consecutive ESCC patients were used to analyze the potential association between high BMI and postoperative complications and survival. Results Patients were divided into two groups. There was no significant difference between high and low BMI groups in terms of postoperative complications, including respiratory disease (p = 0.8362), pneumothorax (p = 0.6058), anastomotic leakage (p = 0.8678), chylothorax (p = 0.9062), cardiovascular disease (p = 0.5763), vocal cord paresis (p = 0.8349), wound infection (p = 0.5763) and perioperative death (p = 0.7179). Patients in the high BMI group had a longer operative time (p = 0.003) and more blood loss (p = 0.002) than in the low BMI group. There was no difference in number of retrieved lymph nodes between the two groups (p = 0.728). Patients could not benefit from high BMI in overall survival (OS) (p = 0.2459). High BMI was not an independent prognostic factor for survival (p = 0.1735, HR = 0.776 and 95% CI: 0.5386–1.1180). Conclusions High BMI is associated with prolonged operative time and increased blood loss in MIE. However, high BMI is not associated with postoperative complications and not an independent prognostic factor for survival in ESCC patients who undergo MIE.","PeriodicalId":49361,"journal":{"name":"Videosurgery and Other Miniinvasive Techniques","volume":"17 1","pages":"317 - 325"},"PeriodicalIF":1.7,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49615390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2