Laparoscopic Versus Open Surgery for Obese Patients with Rectal Cancer: a Retrospective Cohort Study

Overview

Journal Surg Today

Specialty General Surgery

Date 2016 Sep 29

PMID 27677295

Citations 4

Authors

Hiroyuki Matsuzaki

Soichiro Ishihara

Kazushige Kawai

Koji Murono

Kensuke Otani

Koji Yasuda

Takeshi Nishikawa

Toshiaki Tanaka

Tomomichi Kiyomatsu

Keisuke Hata

Hiroaki Nozawa

Hironori Yamaguchi

Toshiaki Watanabe

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the advantages of laparoscopic surgery for rectal cancer in obese patients.

Methods: We collected clinical data from consecutive patients who underwent anterior resection for rectal cancer between 2008 and 2015 to compare the surgical outcomes of a laparoscopic surgery group (LG) with those of an open surgery group (OG) stratified by obesity. Obesity was defined as a body mass index ≥25.

Results: A total of 268 patients were analyzed, with 157 in the LG (44 obese and 113 non-obese) and 111 in the OG (25 obese and 86 non-obese). The rates of complications between the LG and the OG were 18.5 vs. 11.6 % (p = 0.18) for the non-obese patients and 18.2 vs. 20.0 % (p = 1.0) for the obese patients, respectively, without a significant difference. Operative time was longer in the LG than in the OG, but the difference between the non-obese and obese patients was not significant, being 266 vs. 189 min (p < 0.0001) and 260 vs. 254 min (p = 0.96), respectively. Blood loss was much lower in the LG for both obese and non-obese patients, being 10 vs. 435 mL (p < 0.0001) and 10 vs. 275 mL (p < 0.0001), respectively.

Conclusion: There were no significant differences between LG and OG in operative time or complications for obese patients with rectal cancer, and blood loss was much lower in the LG. Thus, laparoscopic surgery is a safe and minimally invasive approach for obese patients with rectal cancer.

Citing Articles

Laparoscopic vs. open surgery for rectal cancer in patients with obesity: short-term outcomes and relapse-free survival across age groups.

Fujita Y, Hida K, Hoshino N, Akagi T, Nakajima K, Inomata M Surg Today. 2024; 55(1):10-17.

PMID: 39102009 DOI: 10.1007/s00595-024-02901-2.

Comparative analysis of robotic and laparoscopic surgery for mid and low rectal cancer in patients with varied body mass indexes: evaluating of short-term outcomes.

Zhao S, Li R, Zhou J, Sun L, Sun Q, Wang W J Robot Surg. 2024; 18(1):67.

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Laparoscopic versus open resection for stage II/III rectal cancer in obese patients: A multicenter propensity score-based analysis of short- and long-term outcomes.

Akagi T, Nakajima K, Hirano Y, Abe T, Inada R, Kono Y Ann Gastroenterol Surg. 2023; 7(1):71-80.

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Obesity does not affect peri- and postoperative outcomes of transabdominal laparoscopic adrenalectomy.

Inaishi T, Kikumori T, Takeuchi D, Ishihara H, Miyajima N, Shibata M Nagoya J Med Sci. 2018; 80(1):21-28.

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