Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients
Background: Rectal resection for cancer can be technically challenging, especially in the obese patient. While some have investigatedthe impact of laparoscopic surgery on rectal cancer, no study looked at the subgroup of morbidly obese patients.Objectives: Our goal was to evaluate feasibility and sa...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2016-09-01
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| Series: | Iranian Journal of Colorectal Research |
| Subjects: | |
| Online Access: | https://colorectalresearch.sums.ac.ir/article_47143_fd9a3a118e0e106e4a65ca7a488f0739.pdf |
| _version_ | 1818932344119099392 |
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| author | Alexandre Brind’Amour Francois Letarte Alexandre Bouchard Sebastien Drolet |
| author_facet | Alexandre Brind’Amour Francois Letarte Alexandre Bouchard Sebastien Drolet |
| author_sort | Alexandre Brind’Amour |
| collection | DOAJ |
| description | Background: Rectal resection for cancer can be technically challenging, especially in the obese patient. While some have investigatedthe impact of laparoscopic surgery on rectal cancer, no study looked at the subgroup of morbidly obese patients.Objectives: Our goal was to evaluate feasibility and safety of laparoscopic rectal resection for cancer in this population.Methods: All morbidly obese patients, defined as a body mass index (BMI) of 40 kg/m2 or greater, undergoing laparoscopic rectalcancer resection for primary cancer between January 2006 and July 2013, were identified using medical records in a single academichospital center.Results: Thirteen patients underwent laparoscopic approach. The median BMI was 42.4 kg/m2. There were 4 conversions (30%).Anastomotic leak occurred in 2 patients (15.4%). TME was complete in only 9 patients (69.2%), with 3 patients with incomplete TMEbeing also in the conversion group. There was no mortality. There was no recurrence.Conclusions: This study suggests that laparoscopic rectal resection for cancer in morbidly obese patients is challenging and associatedwith a higher rate of conversion compared to patients with lower BMI. Mortality, morbidity and readmission rates are similarto the literature showing the same benefit for laparoscopic procedure. |
| first_indexed | 2024-12-20T04:30:59Z |
| format | Article |
| id | doaj.art-4c1188e40d454a5f85c3dd92ec497ebb |
| institution | Directory Open Access Journal |
| issn | 2783-2430 |
| language | English |
| last_indexed | 2024-12-20T04:30:59Z |
| publishDate | 2016-09-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Colorectal Research |
| spelling | doaj.art-4c1188e40d454a5f85c3dd92ec497ebb2022-12-21T19:53:22ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302016-09-014347143Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese PatientsAlexandre Brind’Amour0Francois Letarte1Alexandre Bouchard2Sebastien Drolet3Department of Surgery, Laval University, Quebec City, CanadaDepartment of Surgery, Laval University, Quebec City, CanadaDepartment of Surgery, Laval University, Quebec City, CanadaDepartment of Surgery, Laval University, Quebec City, CanadaBackground: Rectal resection for cancer can be technically challenging, especially in the obese patient. While some have investigatedthe impact of laparoscopic surgery on rectal cancer, no study looked at the subgroup of morbidly obese patients.Objectives: Our goal was to evaluate feasibility and safety of laparoscopic rectal resection for cancer in this population.Methods: All morbidly obese patients, defined as a body mass index (BMI) of 40 kg/m2 or greater, undergoing laparoscopic rectalcancer resection for primary cancer between January 2006 and July 2013, were identified using medical records in a single academichospital center.Results: Thirteen patients underwent laparoscopic approach. The median BMI was 42.4 kg/m2. There were 4 conversions (30%).Anastomotic leak occurred in 2 patients (15.4%). TME was complete in only 9 patients (69.2%), with 3 patients with incomplete TMEbeing also in the conversion group. There was no mortality. There was no recurrence.Conclusions: This study suggests that laparoscopic rectal resection for cancer in morbidly obese patients is challenging and associatedwith a higher rate of conversion compared to patients with lower BMI. Mortality, morbidity and readmission rates are similarto the literature showing the same benefit for laparoscopic procedure.https://colorectalresearch.sums.ac.ir/article_47143_fd9a3a118e0e106e4a65ca7a488f0739.pdfrectal cancermordid obesitylaparoscopic surgery |
| spellingShingle | Alexandre Brind’Amour Francois Letarte Alexandre Bouchard Sebastien Drolet Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients Iranian Journal of Colorectal Research rectal cancer mordid obesity laparoscopic surgery |
| title | Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients |
| title_full | Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients |
| title_fullStr | Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients |
| title_full_unstemmed | Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients |
| title_short | Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients |
| title_sort | security and feasibility of laparoscopic rectal cancer resection in morbidly obese patients |
| topic | rectal cancer mordid obesity laparoscopic surgery |
| url | https://colorectalresearch.sums.ac.ir/article_47143_fd9a3a118e0e106e4a65ca7a488f0739.pdf |
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