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Laparoscopic colorectal cancer surgery in obese patients
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...
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| Published in: | Colorectal disease 2011-08, Vol.13 (8), p.878-883 |
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| container_title | Colorectal disease |
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| creator | Singh, A. Muthukumarasamy, G. Pawa, N. Riaz, A. A. Hendricks, J. B. Motson, R. W. |
| description | 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 |
| doi_str_mv | 10.1111/j.1463-1318.2010.02348.x |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_878029007</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>878029007</sourcerecordid><originalsourceid>FETCH-LOGICAL-p1958-d7f81d33fbda5dc7407698a21fbb65ac61173ac2473c575bdf6a8a25cca2d2ae3</originalsourceid><addsrcrecordid>eNo9kE1PwzAMhiMEYmPwF1BvnFripGnSCxIaX5Mq7QLnyE1T1KlrS9KK7d_TbmO-2PL7yJIfQgKgEYz1uIkgTngIHFTE6LiljMcq2l2Q-Tm4PMwsVCnQGbnxfkMpJBLUNZkxKgTnIOZEZdiha71pu8oEpq1bZ02PdWCwMdYFfnDf1u2Dqgna3HobdNhXtun9Lbkqsfb27tQX5Ovt9XP5EWbr99XyOQs7SIUKC1kqKDgv8wJFYWRMZZIqZFDmeSLQJACSo2Gx5EZIkRdlgmMsjEFWMLR8QR6OdzvX_gzW93pbeWPrGhvbDl4rqShLKZUjeX8ih3xrC925aotur_-fHYGnI_Bb1XZ_zoHqSare6MmdntzpSao-SNU7vVy_rKaR_wFniGq9</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>878029007</pqid></control><display><type>article</type><title>Laparoscopic colorectal cancer surgery in obese patients</title><source>Wiley</source><creator>Singh, A. ; Muthukumarasamy, G. ; Pawa, N. ; Riaz, A. A. ; Hendricks, J. B. ; Motson, R. W.</creator><creatorcontrib>Singh, A. ; Muthukumarasamy, G. ; Pawa, N. ; Riaz, A. A. ; Hendricks, J. B. ; Motson, R. W.</creatorcontrib><description>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 < 0.05). Postoperative morbidity was also greater in obese patients (P < 0.05). The duration of hospital stay was similar for laparoscopically completed cases (6 days obese vs 7 days nonobese), but in the obese‐converted group it was 14 days (P < 0.05). The resected specimen with respect to length, resection margin and lymph node retrieval was equivalent between obese and nonobese patients. Disease‐free survival and overall survival at a median follow up of 2 years were also similar.
Conclusions Laparoscopic colorectal cancer surgery in obese patients is technically feasible and oncologically safe. Despite greater postoperative morbidity, obese patients benefit from shorter length of stay. However, a higher conversion rate, particularly for rectal cancers, should be anticipated in obese male patients.</description><identifier>ISSN: 1462-8910</identifier><identifier>EISSN: 1463-1318</identifier><identifier>DOI: 10.1111/j.1463-1318.2010.02348.x</identifier><identifier>PMID: 20553315</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Colorectal disease, 2011-08, Vol.13 (8), p.878-883</ispartof><rights>2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland</rights><rights>2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20553315$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Singh, A.</creatorcontrib><creatorcontrib>Muthukumarasamy, G.</creatorcontrib><creatorcontrib>Pawa, N.</creatorcontrib><creatorcontrib>Riaz, A. A.</creatorcontrib><creatorcontrib>Hendricks, J. B.</creatorcontrib><creatorcontrib>Motson, R. W.</creatorcontrib><title>Laparoscopic colorectal cancer surgery in obese patients</title><title>Colorectal disease</title><addtitle>Colorectal Dis</addtitle><description>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 < 0.05). Postoperative morbidity was also greater in obese patients (P < 0.05). The duration of hospital stay was similar for laparoscopically completed cases (6 days obese vs 7 days nonobese), but in the obese‐converted group it was 14 days (P < 0.05). The resected specimen with respect to length, resection margin and lymph node retrieval was equivalent between obese and nonobese patients. Disease‐free survival and overall survival at a median follow up of 2 years were also similar.
Conclusions Laparoscopic colorectal cancer surgery in obese patients is technically feasible and oncologically safe. Despite greater postoperative morbidity, obese patients benefit from shorter length of stay. However, a higher conversion rate, particularly for rectal cancers, should be anticipated in obese male patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Transfusion</subject><subject>Colonic Neoplasms - complications</subject><subject>Colonic Neoplasms - pathology</subject><subject>Colonic Neoplasms - surgery</subject><subject>colorectal cancer</subject><subject>Critical Care</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Humans</subject><subject>Ileus - etiology</subject><subject>Kaplan-Meier Estimate</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy - adverse effects</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>obese</subject><subject>Obesity - complications</subject><subject>Rectal Neoplasms - complications</subject><subject>Rectal Neoplasms - pathology</subject><subject>Rectal Neoplasms - surgery</subject><subject>Retrospective Studies</subject><subject>Surgical Wound Infection - etiology</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1462-8910</issn><issn>1463-1318</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><recordid>eNo9kE1PwzAMhiMEYmPwF1BvnFripGnSCxIaX5Mq7QLnyE1T1KlrS9KK7d_TbmO-2PL7yJIfQgKgEYz1uIkgTngIHFTE6LiljMcq2l2Q-Tm4PMwsVCnQGbnxfkMpJBLUNZkxKgTnIOZEZdiha71pu8oEpq1bZ02PdWCwMdYFfnDf1u2Dqgna3HobdNhXtun9Lbkqsfb27tQX5Ovt9XP5EWbr99XyOQs7SIUKC1kqKDgv8wJFYWRMZZIqZFDmeSLQJACSo2Gx5EZIkRdlgmMsjEFWMLR8QR6OdzvX_gzW93pbeWPrGhvbDl4rqShLKZUjeX8ih3xrC925aotur_-fHYGnI_Bb1XZ_zoHqSare6MmdntzpSao-SNU7vVy_rKaR_wFniGq9</recordid><startdate>201108</startdate><enddate>201108</enddate><creator>Singh, A.</creator><creator>Muthukumarasamy, G.</creator><creator>Pawa, N.</creator><creator>Riaz, A. A.</creator><creator>Hendricks, J. B.</creator><creator>Motson, R. W.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201108</creationdate><title>Laparoscopic colorectal cancer surgery in obese patients</title><author>Singh, A. ; Muthukumarasamy, G. ; Pawa, N. ; Riaz, A. A. ; Hendricks, J. B. ; Motson, R. W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1958-d7f81d33fbda5dc7407698a21fbb65ac61173ac2473c575bdf6a8a25cca2d2ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Transfusion</topic><topic>Colonic Neoplasms - complications</topic><topic>Colonic Neoplasms - pathology</topic><topic>Colonic Neoplasms - surgery</topic><topic>colorectal cancer</topic><topic>Critical Care</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Humans</topic><topic>Ileus - etiology</topic><topic>Kaplan-Meier Estimate</topic><topic>Laparoscopic surgery</topic><topic>Laparoscopy - adverse effects</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>obese</topic><topic>Obesity - complications</topic><topic>Rectal Neoplasms - complications</topic><topic>Rectal Neoplasms - pathology</topic><topic>Rectal Neoplasms - surgery</topic><topic>Retrospective Studies</topic><topic>Surgical Wound Infection - etiology</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, A.</creatorcontrib><creatorcontrib>Muthukumarasamy, G.</creatorcontrib><creatorcontrib>Pawa, N.</creatorcontrib><creatorcontrib>Riaz, A. A.</creatorcontrib><creatorcontrib>Hendricks, J. B.</creatorcontrib><creatorcontrib>Motson, R. W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, A.</au><au>Muthukumarasamy, G.</au><au>Pawa, N.</au><au>Riaz, A. A.</au><au>Hendricks, J. B.</au><au>Motson, R. W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic colorectal cancer surgery in obese patients</atitle><jtitle>Colorectal disease</jtitle><addtitle>Colorectal Dis</addtitle><date>2011-08</date><risdate>2011</risdate><volume>13</volume><issue>8</issue><spage>878</spage><epage>883</epage><pages>878-883</pages><issn>1462-8910</issn><eissn>1463-1318</eissn><abstract>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 < 0.05). Postoperative morbidity was also greater in obese patients (P < 0.05). The duration of hospital stay was similar for laparoscopically completed cases (6 days obese vs 7 days nonobese), but in the obese‐converted group it was 14 days (P < 0.05). The resected specimen with respect to length, resection margin and lymph node retrieval was equivalent between obese and nonobese patients. Disease‐free survival and overall survival at a median follow up of 2 years were also similar.
Conclusions Laparoscopic colorectal cancer surgery in obese patients is technically feasible and oncologically safe. Despite greater postoperative morbidity, obese patients benefit from shorter length of stay. However, a higher conversion rate, particularly for rectal cancers, should be anticipated in obese male patients.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>20553315</pmid><doi>10.1111/j.1463-1318.2010.02348.x</doi><tpages>6</tpages></addata></record> |
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| ispartof | Colorectal disease, 2011-08, Vol.13 (8), p.878-883 |
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| language | eng |
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| 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 |
| title | Laparoscopic colorectal cancer surgery in obese patients |
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