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Article: Impact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy

TitleImpact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy
Authors
KeywordsBody mass index
Laparoscopic hepatectomy
Laparoscopic liver
Left lateral sectionectomy
Minimally-invasive hepatectomy
Minimally-invasive liver
Issue Date3-May-2023
PublisherElsevier
Citation
European Journal of Surgical Oncology, 2023, v. 49, n. 8, p. 1466-1473 How to Cite?
Abstract

Introduction

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).

Methods

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.

Results

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.

Conclusion

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.


Persistent Identifierhttp://hdl.handle.net/10722/331232
ISSN
2021 Impact Factor: 4.037
2020 SCImago Journal Rankings: 1.395
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChen, Z-
dc.contributor.authorYin, M-
dc.contributor.authorFu, J-
dc.contributor.authorYu, S-
dc.contributor.authorSyn, NL-
dc.contributor.authorChua, DW-
dc.contributor.authorKingham, TP-
dc.contributor.authorZhang, W-
dc.contributor.authorHoogteijling, TJ-
dc.contributor.authorAghayan, DL-
dc.contributor.authorSiow, TF-
dc.contributor.authorScatton, O-
dc.contributor.authorHerman, P-
dc.contributor.authorMarino, MV-
dc.contributor.authorMazzaferro, V-
dc.contributor.authorChiow, AKH-
dc.contributor.authorSucandy, I-
dc.contributor.authorIvanecz, A-
dc.contributor.authorChoi, SH-
dc.contributor.authorLee, JH-
dc.contributor.authorPrieto, M-
dc.contributor.authorVivarelli, M-
dc.contributor.authorGiuliante, F-
dc.contributor.authorRuzzenente, A-
dc.contributor.authorYong, CC-
dc.contributor.authorDokmak, S-
dc.contributor.authorFondevila, C-
dc.contributor.authorEfanov, M-
dc.contributor.authorMorise, Z-
dc.contributor.authorDi, Benedetto, F-
dc.contributor.authorBrustia, R-
dc.contributor.authorDalla, Valle, R-
dc.contributor.authorBoggi, U-
dc.contributor.authorGeller, D-
dc.contributor.authorBelli, A-
dc.contributor.authorMemeo, R-
dc.contributor.authorGruttadauria, S-
dc.contributor.authorMejia, A-
dc.contributor.authorPark, JO-
dc.contributor.authorRotellar, F-
dc.contributor.authorChoi, GH-
dc.contributor.authorRobles-Campos, R-
dc.contributor.authorWang, X-
dc.contributor.authorSutcliffe, RP-
dc.contributor.authorPratschke, J-
dc.contributor.authorLai, ECH-
dc.contributor.authorChong, CCN-
dc.contributor.authorD'Hondt, M-
dc.contributor.authorMonden, K-
dc.contributor.authorLopez-Ben, S-
dc.contributor.authorLiu, Q-
dc.contributor.authorLiu, R-
dc.contributor.authorFerrero, A-
dc.contributor.authorEttorre, GM-
dc.contributor.authorCipriani, F-
dc.contributor.authorCherqui, D-
dc.contributor.authorLiang, X-
dc.contributor.authorSoubrane, O-
dc.contributor.authorWakabayashi, G-
dc.contributor.authorTroisi, RI-
dc.contributor.authorCheung, TT-
dc.contributor.authorKato, Y-
dc.contributor.authorSugioka, A-
dc.contributor.authorHan, HS-
dc.contributor.authorLong, TCD-
dc.contributor.authorFuks, D-
dc.contributor.authorAbu, Hilal, M-
dc.contributor.authorAldrighetti, L-
dc.contributor.authorChen, KH-
dc.contributor.authorEdwin, B-
dc.contributor.authorGoh, BKP-
dc.date.accessioned2023-09-21T06:53:55Z-
dc.date.available2023-09-21T06:53:55Z-
dc.date.issued2023-05-03-
dc.identifier.citationEuropean Journal of Surgical Oncology, 2023, v. 49, n. 8, p. 1466-1473-
dc.identifier.issn0748-7983-
dc.identifier.urihttp://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.languageeng-
dc.publisherElsevier-
dc.relation.ispartofEuropean Journal of Surgical Oncology-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectBody mass index-
dc.subjectLaparoscopic hepatectomy-
dc.subjectLaparoscopic liver-
dc.subjectLeft lateral sectionectomy-
dc.subjectMinimally-invasive hepatectomy-
dc.subjectMinimally-invasive liver-
dc.titleImpact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy-
dc.typeArticle-
dc.identifier.doi10.1016/j.ejso.2023.03.235-
dc.identifier.scopuseid_2-s2.0-85160584967-
dc.identifier.volume49-
dc.identifier.issue8-
dc.identifier.spage1466-
dc.identifier.epage1473-
dc.identifier.eissn0748-7983-
dc.identifier.isiWOS:001065129900001-
dc.identifier.issnl0748-7983-

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