Laparoscopic surgery for inflammatory bowel disease: does weight matter?

Abstract

Patients with IBD who were overweight or obese and who underwent laparoscopic bowel resection had no significant differences in the rates of conversion, major postoperative complications, or length of stay when comparing to patients with normal BMI. Therefore, the benefits of laparoscopic bowel resection should not be denied to overweight or obese patients based strictly on their BMI.

Safety and feasibility of laparoscopic colo-rectal surgery for cancer at a tertiary center in a developing country: Egypt as an example

“…In this series, the patients have average body mass index (BMI) of 29 (26-33.5). Laparoscopic colectomy is safe and feasible in patients with high BMI, with no significant difference in recovery of intestinal function and length of hospital stay compared to patients with normal BMI [20,21].…”

Risk factors for prolonged length of stay after colorectal surgery

“…However, we believe these possible differences would not be signifi cant enough to infl uence the operative results, as there are no major difference in postoperative results from Brazilian institutions when compared to those from US hospitals. [11][12][13][14][15][16][17][18][19] Another limitation is related to defi nition of prolonged LOS used in this study. Although one could consider it arbitrary, there is no standard defi nition available in the literature and we believe that defi ning prolonged LOS as a LOS within the 4 th quartile for LOS makes clinical and statistical sense.…”

Outcome of laparoscopic colorectal surgery in obese and nonobese patients: a meta-analysis

“…The characteristics of these eight studies are summarized in Table 1. Two studies were conducted in United States [4,6], three in France [5,9,21], one in Germany [7], and one in Czech Republic [17]. The sample size of each study varied from 111 to 589 patients.…”

“…Of these studies, 12 were excluded for various reasons: 3 used other variable definitions of obesity [2,12,13]; 5 compared outcomes in tertiles or quartiles of BMI [14][15][16][17][18]; 1 evaluated the clinical outcomes of patients with morbidly obese [19]; and 2 were review [1,20]. In total, eight observational studies published between 2002 and 2009 matched the inclusion criteria and were therefore included [4-9, 21, 22].…”