Does obesity impact postoperative outcomes following robotic-assisted surgery for rectal cancer?

E. Duchalais, N. Machairas, S. R. Kelley, R. G. Landmann, A. Merchea, D. T. Colibaseanu, K. L. Mathis, Eric Dozois, David Larson

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Introduction: Obesity has been identified as a risk factor for both conversion and severe postoperative morbidity in patients undergoing laparoscopic rectal resection. Robotic-assisted surgery (RAS) is proposed to overcome some of the technical limitations associated with laparoscopic surgery for rectal cancer. The aim of our study was to determine if obesity remains a risk factor for severe morbidity in patients undergoing robotic-assisted rectal resection. Patients: This study was a retrospective review of a prospective database. A total of 183 patients undergoing restorative RAS for rectal cancer between 2007 and 2016 were divided into 2 groups: control (BMI < 30 kg/m2; n = 125) and obese (BMI ≥ 30 kg/m2; n = 58). Clinicopathologic data, 30-day postoperative morbidity, and perioperative outcomes were compared between groups. The main outcome was severe postoperative morbidity defined as any complication graded Clavien-Dindo ≥ 3. Results: Control and obese groups had similar clinicopathologic characteristics. Severe complications were observed in 9 (7%) and 4 (7%) patients, respectively (p > 0.99). Obesity did not impact conversion, anastomotic leak rate, length of stay, or readmission but was significantly associated with increased postoperative morbidity (29 vs. 45%; p = 0.04) and especially more postoperative ileus (11 vs. 26%; p = 0.01). Obesity and male gender were the two independent risk factors for postoperative overall morbidity (OR 1.97; 95% CI 1.02–3.94; p = 0.04 and OR 2.23; 95% CI 1.10–4.76; p = 0.03, respectively). Conclusion: ‎Obesity did not impact severe morbidity or conversion rate following RAS for rectal cancer but remained a risk factor for overall morbidity and especially postoperative ileus.

Original languageEnglish (US)
Pages (from-to)1-7
Number of pages7
JournalSurgical Endoscopy and Other Interventional Techniques
DOIs
StateAccepted/In press - Jul 9 2018

Keywords

  • Obesity
  • Postoperative ileus
  • Postoperative morbidity
  • Rectal cancer
  • Rectal resection
  • Robotic-assisted surgery

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Does obesity impact postoperative outcomes following robotic-assisted surgery for rectal cancer?'. Together they form a unique fingerprint.

  • Cite this