Laparoscopic hepatectomy reduces postoperative complications and hospital stay in overweight and obese patients.
Cost
Laparoscopic hepatectomy
Morbidity
Obesity
Overweight
Postoperative outcome
Journal
World journal of gastrointestinal surgery
ISSN: 1948-9366
Titre abrégé: World J Gastrointest Surg
Pays: United States
ID NLM: 101532473
Informations de publication
Date de publication:
27 Jan 2021
27 Jan 2021
Historique:
received:
17
08
2020
revised:
21
10
2020
accepted:
28
11
2020
entrez:
8
2
2021
pubmed:
9
2
2021
medline:
9
2
2021
Statut:
ppublish
Résumé
Laparoscopic liver surgery is currently considered the standard of care for various liver malignancies. However, studies focusing on perioperative outcome after laparoscopic hepatectomy (LH) in overweight patients are still sparse and its benefit compared to open hepatectomy (OH) is a matter of debate. To analyze postoperative outcomes in overweight [body mass index (BMI) over 25 kg/m²] and obese (BMI over 30 kg/m²) patients undergoing LH and compare postoperative outcome with patients undergoing OH. Perioperative data of 68 overweight (BMI over 25 kg/m²) including a subcohort of obese (BMI over 30 kg/m²) patients ( The mean BMI was 29.8 ± 4.9 kg/m LH is safe and cost-effective in overweight and obese patients. Furthermore, LH is significantly associated with fewer postoperative complications and reduced hospital stay compared to OH in these patients.
Sections du résumé
BACKGROUND
BACKGROUND
Laparoscopic liver surgery is currently considered the standard of care for various liver malignancies. However, studies focusing on perioperative outcome after laparoscopic hepatectomy (LH) in overweight patients are still sparse and its benefit compared to open hepatectomy (OH) is a matter of debate.
AIM
OBJECTIVE
To analyze postoperative outcomes in overweight [body mass index (BMI) over 25 kg/m²] and obese (BMI over 30 kg/m²) patients undergoing LH and compare postoperative outcome with patients undergoing OH.
METHODS
METHODS
Perioperative data of 68 overweight (BMI over 25 kg/m²) including a subcohort of obese (BMI over 30 kg/m²) patients (
RESULTS
RESULTS
The mean BMI was 29.8 ± 4.9 kg/m
CONCLUSION
CONCLUSIONS
LH is safe and cost-effective in overweight and obese patients. Furthermore, LH is significantly associated with fewer postoperative complications and reduced hospital stay compared to OH in these patients.
Identifiants
pubmed: 33552392
doi: 10.4240/wjgs.v13.i1.19
pmc: PMC7830078
doi:
Types de publication
Journal Article
Langues
eng
Pagination
19-29Informations de copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors report that there is no conflict of interest.
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