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International Journal of Colorectal Disease

Erschienen in:

01.03.2014 | Original Article

The impact of visceral obesity on surgical outcomes of laparoscopic surgery for colon cancer

verfasst von: Jun Watanabe, Kenji Tatsumi, Mitsuyoshi Ota, Yusuke Suwa, Shinsuke Suzuki, Akira Watanabe, Atsushi Ishibe, Kazuteru Watanabe, Hirotoshi Akiyama, Yasushi Ichikawa, Satoshi Morita, Itaru Endo

Erschienen in: International Journal of Colorectal Disease | Ausgabe 3/2014

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Abstract

Purpose

Although obesity is considered as a risk factor for postoperative morbidity in abdominal surgery, its effect on the outcomes of laparoscopic-assisted colectomy (LAC) is still unclear. The technical difficulty and risk factor for postoperative complication in LAC are thought to be influenced by visceral obesity. The aim of this prospective study was to evaluate the impact of visceral fat on the surgical outcomes of LAC.

Methods

Between April 2005 and December 2010, consecutive patients with preoperatively diagnosed colon cancer, excluding medium and low rectal cancer, who underwent LAC, were enrolled. Their visceral fat area (VFA) and body mass index (BMI) were prospectively collected. The VFA was assessed by Fat Scan software. The patients were classified into two groups as follows: VFA nonobese with VFA <100 cm² (VNO) and VFA obese with VFA ≧100 cm² (VO). The predictive factors for surgical complications of LAC were evaluated by univariate and logistic regression analyses.

Results

A total of 338 consecutive patients were enrolled in this study. Of the 338 patients, 194 (57.4 %) and 138 (42.6 %) were classified into the VNO and VO groups, respectively. Logistic regression analysis showed that high BMI (≧25 kg/m²) and VO independently predicted the incidence of overall postoperative complications (p = 0.040 and 0.007, respectively). VO was more highly related to the incidence of overall postoperative complications, anastomotic leakage (p = 0.021), and surgical site infection (SSI) (p = 0.013) than high BMI.

Conclusions

VFA is a more useful parameter than BMI in predicting surgical outcomes after LAC.

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Titel: The impact of visceral obesity on surgical outcomes of laparoscopic surgery for colon cancer
verfasst von: Jun Watanabe
Kenji Tatsumi
Mitsuyoshi Ota
Yusuke Suwa
Shinsuke Suzuki
Akira Watanabe
Atsushi Ishibe
Kazuteru Watanabe
Hirotoshi Akiyama
Yasushi Ichikawa
Satoshi Morita
Itaru Endo
Publikationsdatum: 01.03.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: International Journal of Colorectal Disease / Ausgabe 3/2014
Print ISSN: 0179-1958
Elektronische ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-013-1803-9

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Abstract

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