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Article: Impact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy
Title | Impact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy |
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Authors | Chen, ZYin, MFu, JYu, SSyn, NLChua, DWKingham, TPZhang, WHoogteijling, TJAghayan, DLSiow, TFScatton, OHerman, PMarino, MVMazzaferro, VChiow, AKHSucandy, IIvanecz, AChoi, SHLee, JHPrieto, MVivarelli, MGiuliante, FRuzzenente, AYong, CCDokmak, SFondevila, CEfanov, MMorise, ZDi, Benedetto, FBrustia, RDalla, Valle, RBoggi, UGeller, DBelli, AMemeo, RGruttadauria, SMejia, APark, JORotellar, FChoi, GHRobles-Campos, RWang, XSutcliffe, RPPratschke, JLai, ECHChong, CCND'Hondt, MMonden, KLopez-Ben, SLiu, QLiu, RFerrero, AEttorre, GMCipriani, FCherqui, DLiang, XSoubrane, OWakabayashi, GTroisi, RICheung, TTKato, YSugioka, AHan, HSLong, TCDFuks, DAbu, Hilal, MAldrighetti, LChen, KHEdwin, BGoh, BKP |
Keywords | Body mass index Laparoscopic hepatectomy Laparoscopic liver Left lateral sectionectomy Minimally-invasive hepatectomy Minimally-invasive liver |
Issue Date | 3-May-2023 |
Publisher | Elsevier |
Citation | European Journal of Surgical Oncology, 2023, v. 49, n. 8, p. 1466-1473 How to Cite? |
Abstract | IntroductionCurrently, the impact of body mass index (BMI) on the outcomes of laparoscopic liver resections (LLR) is poorly defined. This study attempts to evaluate the impact of BMI on the peri-operative outcomes following laparoscopic left lateral sectionectomy (L-LLS). MethodsA retrospective analysis of 2183 patients who underwent pure L-LLS at 59 international centers between 2004 and 2021 was performed. Associations between BMI and selected peri-operative outcomes were analyzed using restricted cubic splines. ResultsA BMI of >27kg/m2 was associated with increased in blood loss (Mean difference (MD) 21 mls, 95% CI 5–36), open conversions (Relative risk (RR) 1.13, 95% CI 1.03–1.25), operative time (MD 11 min, 95% CI 6–16), use of Pringles maneuver (RR 1.15, 95% CI 1.06–1.26) and reductions in length of stay (MD -0.2 days, 95% CI -0.3 to −0.1). The magnitude of these differences increased with each unit increase in BMI. However, there was a “U” shaped association between BMI and morbidity with the highest complication rates observed in underweight and obese patients. ConclusionIncreasing BMI resulted in increasing difficulty of L-LLS. Consideration should be given to its incorporation in future difficulty scoring systems in laparoscopic liver resections. |
Persistent Identifier | http://hdl.handle.net/10722/331232 |
ISSN | 2023 Impact Factor: 3.5 2023 SCImago Journal Rankings: 1.164 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chen, Z | - |
dc.contributor.author | Yin, M | - |
dc.contributor.author | Fu, J | - |
dc.contributor.author | Yu, S | - |
dc.contributor.author | Syn, NL | - |
dc.contributor.author | Chua, DW | - |
dc.contributor.author | Kingham, TP | - |
dc.contributor.author | Zhang, W | - |
dc.contributor.author | Hoogteijling, TJ | - |
dc.contributor.author | Aghayan, DL | - |
dc.contributor.author | Siow, TF | - |
dc.contributor.author | Scatton, O | - |
dc.contributor.author | Herman, P | - |
dc.contributor.author | Marino, MV | - |
dc.contributor.author | Mazzaferro, V | - |
dc.contributor.author | Chiow, AKH | - |
dc.contributor.author | Sucandy, I | - |
dc.contributor.author | Ivanecz, A | - |
dc.contributor.author | Choi, SH | - |
dc.contributor.author | Lee, JH | - |
dc.contributor.author | Prieto, M | - |
dc.contributor.author | Vivarelli, M | - |
dc.contributor.author | Giuliante, F | - |
dc.contributor.author | Ruzzenente, A | - |
dc.contributor.author | Yong, CC | - |
dc.contributor.author | Dokmak, S | - |
dc.contributor.author | Fondevila, C | - |
dc.contributor.author | Efanov, M | - |
dc.contributor.author | Morise, Z | - |
dc.contributor.author | Di, Benedetto, F | - |
dc.contributor.author | Brustia, R | - |
dc.contributor.author | Dalla, Valle, R | - |
dc.contributor.author | Boggi, U | - |
dc.contributor.author | Geller, D | - |
dc.contributor.author | Belli, A | - |
dc.contributor.author | Memeo, R | - |
dc.contributor.author | Gruttadauria, S | - |
dc.contributor.author | Mejia, A | - |
dc.contributor.author | Park, JO | - |
dc.contributor.author | Rotellar, F | - |
dc.contributor.author | Choi, GH | - |
dc.contributor.author | Robles-Campos, R | - |
dc.contributor.author | Wang, X | - |
dc.contributor.author | Sutcliffe, RP | - |
dc.contributor.author | Pratschke, J | - |
dc.contributor.author | Lai, ECH | - |
dc.contributor.author | Chong, CCN | - |
dc.contributor.author | D'Hondt, M | - |
dc.contributor.author | Monden, K | - |
dc.contributor.author | Lopez-Ben, S | - |
dc.contributor.author | Liu, Q | - |
dc.contributor.author | Liu, R | - |
dc.contributor.author | Ferrero, A | - |
dc.contributor.author | Ettorre, GM | - |
dc.contributor.author | Cipriani, F | - |
dc.contributor.author | Cherqui, D | - |
dc.contributor.author | Liang, X | - |
dc.contributor.author | Soubrane, O | - |
dc.contributor.author | Wakabayashi, G | - |
dc.contributor.author | Troisi, RI | - |
dc.contributor.author | Cheung, TT | - |
dc.contributor.author | Kato, Y | - |
dc.contributor.author | Sugioka, A | - |
dc.contributor.author | Han, HS | - |
dc.contributor.author | Long, TCD | - |
dc.contributor.author | Fuks, D | - |
dc.contributor.author | Abu, Hilal, M | - |
dc.contributor.author | Aldrighetti, L | - |
dc.contributor.author | Chen, KH | - |
dc.contributor.author | Edwin, B | - |
dc.contributor.author | Goh, BKP | - |
dc.date.accessioned | 2023-09-21T06:53:55Z | - |
dc.date.available | 2023-09-21T06:53:55Z | - |
dc.date.issued | 2023-05-03 | - |
dc.identifier.citation | European Journal of Surgical Oncology, 2023, v. 49, n. 8, p. 1466-1473 | - |
dc.identifier.issn | 0748-7983 | - |
dc.identifier.uri | http://hdl.handle.net/10722/331232 | - |
dc.description.abstract | <h3>Introduction</h3><p>Currently, the impact of body mass index (BMI) on the outcomes of laparoscopic liver resections (LLR) is poorly defined. This study attempts to evaluate the impact of BMI on the peri-operative outcomes following laparoscopic left lateral sectionectomy (L-LLS).</p><h3>Methods</h3><p>A retrospective analysis of 2183 patients who underwent pure L-LLS at 59 international centers between 2004 and 2021 was performed. Associations between BMI and selected peri-operative outcomes were analyzed using restricted cubic splines.</p><h3>Results</h3><p>A BMI of >27kg/m2 was associated with increased in blood loss (Mean difference (MD) 21 mls, 95% CI 5–36), open conversions (Relative risk (RR) 1.13, 95% CI 1.03–1.25), operative time (MD 11 min, 95% CI 6–16), use of Pringles maneuver (RR 1.15, 95% CI 1.06–1.26) and reductions in length of stay (MD -0.2 days, 95% CI -0.3 to −0.1). The magnitude of these differences increased with each unit increase in BMI. However, there was a “U” shaped association between BMI and morbidity with the highest complication rates observed in underweight and obese patients.</p><h3>Conclusion</h3><p>Increasing BMI resulted in increasing difficulty of L-LLS. Consideration should be given to its incorporation in future difficulty scoring systems in laparoscopic liver resections.</p> | - |
dc.language | eng | - |
dc.publisher | Elsevier | - |
dc.relation.ispartof | European Journal of Surgical Oncology | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Body mass index | - |
dc.subject | Laparoscopic hepatectomy | - |
dc.subject | Laparoscopic liver | - |
dc.subject | Left lateral sectionectomy | - |
dc.subject | Minimally-invasive hepatectomy | - |
dc.subject | Minimally-invasive liver | - |
dc.title | Impact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.ejso.2023.03.235 | - |
dc.identifier.scopus | eid_2-s2.0-85160584967 | - |
dc.identifier.volume | 49 | - |
dc.identifier.issue | 8 | - |
dc.identifier.spage | 1466 | - |
dc.identifier.epage | 1473 | - |
dc.identifier.eissn | 0748-7983 | - |
dc.identifier.isi | WOS:001065129900001 | - |
dc.identifier.issnl | 0748-7983 | - |