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Surgery Today

, Volume 44, Issue 7, pp 1293–1299 | Cite as

Effects of obesity on the outcome of laparoscopic surgery for colorectal cancer

  • Yuji Miyamoto
  • Toshimasa Ishii
  • Jo Tashiro
  • Takahiro Satoh
  • Masayuki Watanabe
  • Hideo Baba
  • Shigeki Yamaguchi
Original Article

Abstract

Purpose

This study evaluated the feasibility and safety of laparoscopic colorectal surgery for cancer in obese patients based on the short-term outcomes.

Methods

We conducted a retrospective analysis of 561 patients with colorectal cancer treated from April 2007 to October 2010. The surgical outcomes were compared between non-obese (BMI <25 kg/m2) and obese (BMI ≥25 kg/m2) patients.

Results

All of the enrolled patients were classified as non-obese (n = 421) or obese (n = 140). The obese group had a significantly higher proportion of male patients (72.1 vs. 57.0 %; P = 0.002), a higher incidence of left colon cancer (49.3 vs. 36.8 %; P = 0.033), and more systematic comorbidities (P < 0.001) than did the non-obese group. The length of the surgery was significantly longer in obese than in non-obese patients (221 vs. 207 min; P = 0.025). There was no significant difference in the overall incidence of postoperative complications between the two groups; however, surgical wound infections were more common in obese patients (12.1 vs. 5.2 %; P = 0.005). Obesity was not a significant-independent risk factor for total postoperative complications (odds ratio 1.330; P = 0.289).

Conclusion

Laparoscopic colorectal surgery is technically feasible and safe for obese patients and provides all the benefits of a minimally invasive approach.

Keywords

Colorectal cancer Obesity Laparoscopic surgery 

Notes

Conflict of interest

Yuji Miyamoto and the coauthors have no conflicts of interest to declare in association with this study.

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Copyright information

© Springer Japan 2013

Authors and Affiliations

  • Yuji Miyamoto
    • 1
    • 2
  • Toshimasa Ishii
    • 1
  • Jo Tashiro
    • 1
  • Takahiro Satoh
    • 1
  • Masayuki Watanabe
    • 2
  • Hideo Baba
    • 2
  • Shigeki Yamaguchi
    • 1
  1. 1.Department of Gastroenterological Surgery, Comprehensive Cancer Center, Saitama International Medical CenterSaitama Medical UniversitySaitamaJapan
  2. 2.Department of Gastroenterological Surgery, Graduate School of Medical ScienceKumamoto UniversityKumamotoJapan

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