Retrospective assessment of the association between inhalation anesthesia and post-operative complications in morbidly obese patients undergoing bariatric surgery

Zengin, Seniyye Ülgen; Ergün, Meliha Orhon

doi:10.28982/josam.1083644

Cited by 2 publications

(2 citation statements)

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“…By identifying specific challenges associated with obesity, the surgical team can implement tailored strategies to mitigate these risks. For instance, optimizing anesthesia protocols can help address the physiological changes associated with obesity, ultimately improving patient safety and minimizing adverse events (10). Overall, intra-operative complications were low, but somewhat higher with increasing BMI, although no significant differences were observed.…”

Section: Discussionmentioning

confidence: 99%

“…Women who are obese may experience larger tumor size, longer surgical times, and increased risk of postoperative complications (6, 9). Moreover, inducing anesthesia in patients with obesity poses challenges and often requires an experienced anesthesia team to consider the anatomic and physiologic changes associated with obesity, including cardiovascular disease and obstructive sleep apnea syndrome (10, 11).…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Body Mass Index on Robotic Surgery Outcomes in Endometrial Cancer

Kadoch,

Brezinov,

Levin

et al. 2023

Preprint

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STRUCTURED ABSTRACTOBJECTIVESTo compare surgical outcomes of patients with endometrial cancer who underwent robotic surgery across different BMI categories.METHODSA retrospective study including all consecutive patients with endometrial cancer who underwent robotic surgery at a tertiary cancer center between December 2007 and December 2022. The study analyzed outcome measures, including blood loss, surgical times, length of hospitalization, perioperative complications, and conversion rates with the Kruskal-Wallis test for BMI group differences and the Chi-squared test for associations between categorical variables.RESULTSA total of 1,329 patients with endometrial cancer were included in the study. Patients were stratified by BMI: <30.0 (n=576; 43.3%), 30.0-39.9 (n=449; 33.8%), and ≥40.0 (n=304; 22.9%). There were no significant differences in post-anesthesia care unit (PACU) stay (p=0.105) and hospital stay (p=0.497) between the groups. The rate of post-op complications was similar across the groups, ranging from 8.0% to 9.5% (p=0.761). The rate of conversion to laparotomy was also similar across the groups, ranging from 0.7% to 1.0% (p=0.885). Women with a BMI ≥40.0 had a non-clinically relevant but greater median estimated blood loss (30 mL vs. 20 mL; p<0.001) and longer median operating room (OR) time (288 minutes vs. 270 minutes; p<0.001). Within the OR time, the median set-up time was longer for those with a higher BMI (58 minutes vs. 50 minutes; p<0.001). However, skin-to-skin time (209 minutes vs. 203 minutes; p=0.202) and post-op time (14 minutes vs. 13 minutes; p=0.094) were comparable between groups.CONCLUSIONBMI does not affect the peri-operative outcome of patients undergoing robotic staging procedures for endometrial cancer.

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Section: Discussionmentioning

confidence: 99%