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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Autores principales:	Alexandre Brind’Amour, Francois Letarte, Alexandre Bouchard, Sebastien Drolet
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2016
Materias:	rectal cancer mordid obesity laparoscopic surgery Medicine R
Acceso en línea:	https://doaj.org/article/4c1188e40d454a5f85c3dd92ec497ebb
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spelling	oai:doaj.org-article:4c1188e40d454a5f85c3dd92ec497ebb2021-11-15T09:43:58ZSecurity and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients2783-2430https://doaj.org/article/4c1188e40d454a5f85c3dd92ec497ebb2016-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_47143_fd9a3a118e0e106e4a65ca7a488f0739.pdfhttps://doaj.org/toc/2783-2430Background: 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.Alexandre Brind’AmourFrancois LetarteAlexandre BouchardSebastien DroletShiraz University of Medical Sciencesarticlerectal cancermordid obesitylaparoscopic surgeryMedicineRENIranian Journal of Colorectal Research, Vol 4, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	rectal cancer mordid obesity laparoscopic surgery Medicine R
spellingShingle	rectal cancer mordid obesity laparoscopic surgery Medicine R Alexandre Brind’Amour Francois Letarte Alexandre Bouchard Sebastien Drolet Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients
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.
format	article
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
title	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_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_sort	security and feasibility of laparoscopic rectal cancer resection in morbidly obese patients
publisher	Shiraz University of Medical Sciences
publishDate	2016
url	https://doaj.org/article/4c1188e40d454a5f85c3dd92ec497ebb
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Security and Feasibility of Laparoscopic Rectal Cancer Resection in Morbidly Obese Patients

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