Effect of obesity on perioperative outcomes after laparoscopic hepatectomy

作     者：Seeyuen J.Lee Adam Hauch Erica Kane Christoper DuCoin Michael Darden Geoffrey Parker Emad Kandil Joseph F.Buell 

作者机构：Departments of SurgeryLouisiana State University School of MedicineNew OrleansLA 70112USA Departments of SurgeryTulane University School of MedicineNew OrleansLA 70112USA Department of EconomicsTulane UniversityNew OrleansLA 70112USA Tuck School of Business AdministrationDartmouth CollegeHanoverNH 03755USA 

出 版 物：《Hepatoma Research》 (肝癌研究（英文版）)

年 卷 期：2016年第2卷第1期

页      面：323-327页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Liver resection laparoscopy obesity 

摘      要：Aim:Laparoscopic hepatectomy is increasing in utilization,however the procedure has not been adequately examined in the obese *** study aims to analyze the effect of obesity on perioperative outcomes after laparoscopic ***:Retrospective analysis of 396 laparoscopic hepatectomies in normal[body mass index(BMI)25],overweight(BMI≥25),obese(BMI≥30),and severely obese(BMI≥35)patients using multivariate regression models to determine the risk factors for post-operative ***:Normal BMI(n=78;20%),overweight(n=209;52%),obese(n=86;22%),and severely obese(n=23;6%).Demographics were similar except for a higher American Society of Anesthesiologists(ASA)score in the obese *** blood loss and operating time were greatest in the overweight group,while length of stay and complications were statistically similar between *** analysis identified that complications were associated with weight class,ASA score,blood loss,and resection;multivariate analysis revealed ASA and transfusion were best correlated with ***:Obese and overweight patients have similar complication profiles to normal BMI patients while severely obese patients have a higher incidence of complications that are primarily limited to Clavien-Dindo class I and II.