Laparoscopic colorectal cancer surgery in obese patients

• Published in: Colorectal disease 2011-08, Vol.13 (8), p.878-883
• Main Authors: Singh, A., Muthukumarasamy, G., Pawa, N., Riaz, A. A., Hendricks, J. B., Motson, R. W.
• Format: Article
• Language: English
• Subjects: Aged; Aged, 80 and over; Blood Transfusion; Colonic Neoplasms - complications; Colonic Neoplasms - pathology; Colonic Neoplasms - surgery; colorectal cancer; Critical Care; Disease-Free Survival; Female; Humans; Ileus - etiology; Kaplan-Meier Estimate; Laparoscopic surgery; Laparoscopy - adverse effects; Length of Stay; Male; Middle Aged; obese; Obesity - complications; Rectal Neoplasms - complications; Rectal Neoplasms - pathology; Rectal Neoplasms - surgery; Retrospective Studies; Surgical Wound Infection - etiology; Time Factors; Treatment Outcome
• ISSN: 1462-8910; 1463-1318
• DOI: 10.1111/j.1463-1318.2010.02348.x

Aim  The aim of this study was to assess the oncological and postoperative outcomes of laparoscopic colorectal cancer surgery in obese patients. Method  All obese (BMI > 30) patients who underwent laparoscopic colorectal cancer surgery from January 2005 to January 2008 were compared with nonobese patients undergoing similar surgery. We recorded patient demographics, intra‐operative details and postoperative morbidity and mortality. Results  Sixty‐two obese and 172 nonobese patients underwent laparoscopic colorectal cancer resection. Both groups were well matched for demographic parameters. Overall mean operating times were not significantly different. Conversion to open surgery was more likely in obese patients. In particular, for rectal cancers, the conversion rate was 44% in the obese group compared with 17% in the nonobese group (P