The Impact of Body Mass Index on Shortterm Surgical Outcomes After Laparoscopic Hepatectomy

A Retrospective Study

Xin Yu; Hong Yu; Xiangming Fang

Disclosures

BMC Anesthesiol. 2016;16(29) 

In This Article

Background

Since the first laparoscoic liver resection was reported in 1992,[1] it is used from limited resection toward major hepatectomy. A number of advantages have been established when compared with conventional liver surgery, including less postoperative pain, shorter length of postoperativer hospital stay, and faster recovery of daily activities.[2–4] However due to the special anatomic position and massive vascularity of liver parenchyma, LH is still as one of the last barriers to laparoscopic surgery. Risk of massive bleeding, high rate of conversion and complications are difficulties to be solved.

Obesity, a growing public health problem worldwide, although is less common in China, it has a rapidly growing trend in recent decades. The total prevalence rate of overweight and obesity was up to 42.6 % of Chinese adults.[4–6] Overweight and obesity have been reported being associated with metabolic syndrome, diabetes, hypertension, and increased risk of surgical infection.[7] Surgeons may expect difficulties such as inadequate exposure and technical challenges in performing LH on overweight and obese patients. By now there are no so many studies focusing on risk factors of conversion and complications and little information is currently available around the influence of obesity on outcomes of LH. In the present study we firstly try to compare the short-term outcomes after LH in relation to BMI that is now widely recognized as a reliable indicator to describe the extent of obesity and is easily calculated.

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