The Impact of Obesity on Technical Feasibility and Postoperative Outcomes of Laparoscopic Left Colectomy

Leroy, Joël; Ananian, Priscilla; Rubino, Francesco; Claudon, Bertrand; Mutter, Didier; Marescaux, Jacques

doi:10.1097/01.sla.0000150168.59592.b9

Cited by 151 publications

(89 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Operating times were equivalent in the two groups, being 168 and 165 min for laparoscopically completed obese and nonobese patients. These times are similar to other studies that also reported no significant differences in the duration of surgery between obese and nonobese patients [9,11,17].…”

Section: Discussionsupporting

confidence: 91%

“…A recent review by Gendall et al [7] found obesity to be a risk factor for wound infection, wound dehiscence, incisional herniation and stomal complications. An association with anastomotic leakage has also been reported [17,18]. Pikarsky et al [9] also found a higher rate of wound infection and postoperative ileus in obese compared with nonobese patients.…”

Section: Discussionmentioning

confidence: 85%

“…In contrast, a prospective study by Schwander et al [10] found no significant differences in conversion rates between obese and nonobese patients undergoing laparoscopic colorectal resec-tions. Similarly, Leroy et al [17] also found no difference in conversion rates. However, both studies included only 7 laparoscopic rectal resections in obese patients, and as rectal resections accounted for the majority of the conversions in our study, this may explain the different findings in conversion rates.…”

Section: Discussionmentioning

confidence: 86%

See 2 more Smart Citations

Laparoscopic colorectal cancer surgery in obese patients

et al. 2010

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

Laparoscopic colorectal cancer surgery in obese patients

et al. 2010

View full text Add to dashboard Cite

show abstract

“…It is well recognized that laparoscopic surgery in the obese is technically challenging with a higher conversion rate 9 . On the other hand, laparoscopic surgery can be performed safely in obese patients, and patients should not be denied the potential benefits of a laparoscopic procedure based solely on BMI 10 . It is notable that, when BMI was not considered in the overall analysis, ASA grade was found to be an independent predictor.…”

Section: Discussionmentioning

confidence: 99%

Patient factors influencing conversion from laparoscopically assisted to open surgery for colorectal cancer

Thorpe

Jayne

Guillou

et al. 2007

British Journal of Surgery

126

View full text Add to dashboard Cite

show abstract

“…Of these, 20 studies met the inclusion and exclusion criteria, which formed the basis of this meta-analysis. 4,5,[9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] There were a total of 6779 participants, of whom 1785 (26.3%) were OB and 4994 (73.7%) were NOB participants; eight of Western population and 12 of Asian population; four prospective studies, the remaining being retrospective in nature. The study characteristics for each study are displayed in Table S1.…”

Section: Overall Study and Patient Characteristicsmentioning

confidence: 99%

Oncological safety of laparoscopic versus open colorectal cancer surgery in obesity: a systematic review and meta‐analysis

Bell

Kong

Carne

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background Colorectal cancer resection in the obese (OB) patients can be technically challenging. With the increasing adoption of laparoscopic surgery, the benefits remain uncertain. Hence, the aim of this study is to assess the short‐ and long‐term outcomes of laparoscopic compared to open colorectal cancer resection in the OB patients. Methods A systematic review and meta‐analysis was performed according to the PRISMA guidelines. The outcome measures were 5‐year disease‐free survival, overall survival, circumferential resection margin and local and distant recurrence. Results A total of 20 studies were included, with a total number of 6779 participants, of whom 1785 (26.3%) were OB and 4994 (73.7%) were non‐obese (NOB) participants. The OB patients had higher R1 resection (OB 6.9% versus NOB 3.1%; P = 0.011) and lower mean number of lymph nodes harvested, with standard mean difference of −0.29; P = 0.023, favouring the NOB patients. However, there was no statistical difference for local (OB 2.8% versus NOB 3.4%) or distant recurrence (OB 12.9% versus NOB 15.2%) rate between the two cohorts. There was no difference in 5‐year disease‐free survival (OB 81% versus NOB 77.4%; odds ratio 1.25, P = 0.215) and overall survival (OB 89.4% versus NOB 87.9%; odds ratio 1.16, P = 0.572). Lastly, the OB group had higher mean total blood loss, total operative time and length of hospital stay when compared to NOB patients. Conclusion From a pooled non‐randomized study, laparoscopic colorectal cancer resection is safe in OB patients with equivalent long‐term outcomes compared to NOB patients. However, there is a higher morbidity rate with an increased demand on hospital resources for the OB cohort.

show abstract

The Impact of Obesity on Technical Feasibility and Postoperative Outcomes of Laparoscopic Left Colectomy

Cited by 151 publications

References 17 publications

Laparoscopic colorectal cancer surgery in obese patients

Laparoscopic colorectal cancer surgery in obese patients

Patient factors influencing conversion from laparoscopically assisted to open surgery for colorectal cancer

Oncological safety of laparoscopic versus open colorectal cancer surgery in obesity: a systematic review and meta‐analysis

Contact Info

Product

Resources

About