Influence of body mass index on postoperative outcomes after laparoscopic liver resection

Surgical Endoscopy
Takeo NomiBrice Gayet

Abstract

Despite the increasing prevalence of obesity, the impact of body weight on postoperative outcomes of laparoscopic liver resection (LLR) still remains poorly evaluated. The present study aimed to explore the impact of body mass index (BMI) on perioperative outcomes in patients undergoing LLR. All patients undergoing LLR from January 2008 to December 2013 were retrospectively reviewed. BMI was subdivided into normal weight (<24.9 kg/m(2)), overweight (25.0-29.9 kg/m(2)), and obese (≥30.0 kg/m(2)). These three groups were compared in terms of demographic data, intraoperative factors, and postoperative outcomes. Logistic regression was used to determine odds ratios with 95 % confidence intervals and evaluate BMI as an independent risk factor for morbidity. Among 228 selected patients, 83 (36.4 %) patients were overweight and 32 (14.0 %) were obese. Despite higher rates of diabetes mellitus, hypertension, and ischemic heart disease with an increase in BMI, no significant difference in operative time, blood loss, and conversion rate was observed in the three groups. There were no significant differences in postoperative mortality rate between the groups (0.9 vs. 1.2 vs. 0 %). The rate of overall complications (31.0 vs. 31.3 vs. 40.6 ...Continue Reading

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Citations

Feb 2, 2019·Journal of Robotic Surgery·Iswanto SucandyAlexander Rosemurgy
Mar 15, 2016·World Journal of Gastroenterology : WJG·Hiroki UchidaMasafumi Inomata
Mar 31, 2017·Molecular and Clinical Oncology·Nikolaos MachairasGeorgios C Sotiropoulos
Jun 9, 2017·Surgical Endoscopy·Yasushi HasegawaAkira Sasaki
Jun 5, 2018·Annals of Gastroenterological Surgery·Motonari RiYasuyuki Seto
Aug 15, 2019·Surgical Case Reports·Kentaro OjiDaisuke Kuroda
Jun 9, 2017·Surgical Endoscopy·Hadrien TranchartBrice Gayet
Dec 8, 2020·The American Surgeon·Yoshihiro InoueKazuhisa Uchiyama
Feb 7, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Alessandro ParoTimothy M Pawlik
Feb 9, 2021·World Journal of Gastrointestinal Surgery·Daniel HeiseFlorian Ulmer
Dec 8, 2020·Indian Journal of Surgical Oncology·Rafael Diaz-NietoGraeme Poston
Mar 9, 2021·ANZ Journal of Surgery·Bianca KwanRichard D Bryant
Jul 4, 2021·Journal of Surgical Oncology·Qiang HuKai Feng Zhu
Jul 11, 2021·Journal of Hepato-biliary-pancreatic Sciences·Daniel HeiseFlorian Ulmer

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