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首页> 外文期刊>journal of minimal access surgery >Obesity: A risk factor for postoperative complications in laparoscopic surgery for colorectal cancer
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Obesity: A risk factor for postoperative complications in laparoscopic surgery for colorectal cancer

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Background: The prevalence of obesity in the Eastern Mediterranean is increasing significantly up to 20.8 in 2016. Therefore, a higher percentage of colorectal cancer (CRC) patients are expected to be obese. Laparoscopic colorectal cancer surgery (LCRCS) is regarded as a safe and feasible procedure as laparoscopic approach is becoming the gold standard in CRC surgery, especially in the early stages of disease. However, LCRCS is correlated with a higher risk of short-term post-operative complications in obese patients (body mass index BMI >= 30 Kg/m(2) ) than in patients with BMI = 30 Kg/m(2 )was used to define obese patients. Post-operative complications in the 30 days following surgery were the primary outcome. The severity of post-operative complications was evaluated using the Clavien-Dindo score. Chi-square test was used to evaluate the statistical correlation between collected variables.Results: We identified 107 patients who underwent LCRCS during this study period at our institution. Among the patients, 23 were obese (21.49). At 30 days post-operative, 26 patients were reported to having at least one complication. Non-significant differences were found between the two groups regarding the early post-operative complications rate (obese 26.1 and non-obese 23.8 with P = 0.821). Obesity was not demonstrated as a stratification risk by severity of the early post-operative complications ( P = 0.92).Conclusion: Obesity, which was defined as BMI >= 30 Kg/m(2), was not a risk factor for early post-operative complications as well as a stratification risk by severity of post-operative complications in LCRCS.

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