Is the laparoscopic approach to colectomy safe for the morbidly obese?

Surgical Endoscopy

Volumn 24, Issue 6, 2010, Pages 1336-1340

  Khoury, Wisam ^a   Kiran, Ravi P ^a   Jessie, Timothy ^a   Geisler, Daniel ^a   Remzi, Feza H ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Colectomy; Laparoscopy; Morbid obesity

Indexed keywords

ABDOMINAL ABSCESS; ADULT; ANASTOMOSIS LEAKAGE; ARTICLE; BLEEDING; BODY MASS; CLINICAL ARTICLE; CLINICAL ASSESSMENT; CLINICAL EFFECTIVENESS; COLON RESECTION; CONTROLLED STUDY; FEMALE; HUMAN; INCISIONAL HERNIA; INTESTINE FUNCTION; LAPAROSCOPIC SURGERY; LENGTH OF STAY; MALE; OBESITY; OPERATION DURATION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; REOPERATION; SAFETY; SCORING SYSTEM; SMALL INTESTINE OBSTRUCTION; TREATMENT RESPONSE; URINARY TRACT INFECTION; WOUND INFECTION; COLONIC DISEASES; COMPARATIVE STUDY; COMPLICATION; FOLLOW UP; INCIDENCE; LAPAROSCOPY; MIDDLE AGED; MORBID OBESITY; POSTOPERATIVE COMPLICATIONS; PROCEDURES; PROSPECTIVE STUDY; RECTAL DISEASES; RISK FACTOR; TREATMENT OUTCOME; UNITED STATES;

BODY MASS INDEX; COLECTOMY; COLONIC DISEASES; FEMALE; FOLLOW-UP STUDIES; HUMANS; INCIDENCE; LAPAROSCOPY; LENGTH OF STAY; MALE; MIDDLE AGED; OBESITY, MORBID; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; RECTAL DISEASES; RISK FACTORS; TREATMENT OUTCOME; UNITED STATES;

EID: 77955655471     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-009-0770-2     Document Type: Article

References (16)

1. Pessaux P, Muscari F, Ouellet JF, Msika S, Hay JM, Millat B, Fingerhut A, Flamant Y (2004) Risk factors for mortality and morbidity after elective sigmoid resection for diverticulitis: prospective multicenter multivariate analysis of 582 patients. World J Surg 28:92-96.
2. Gendall KA, Raniga S, Kennedy R, Frizelle FA (2007) The impact of obesity on outcome after major colorectal surgery. Dis Colon Rectum 50:2223-2237.
3. Pikarsky AJ, Saida Y, Yamaguchi T, Martinez S, Chen W, Weiss EG, Nogueras JJ, Wexner SD (2002) Is obesity a high-risk factor for laparoscopic colorectal surgery? Surg Endosc 16:855-858.
4. Merkow RP, Bilimoria KY, McCarter MD, Bentrem DJ (2009) Effect of body mass index on short-term outcomes after colectomy for cancer. J Am Coll Surg 208:53-61.
5. Scheidbach H, Benedix F, Hügel O, Kose D, Köckerling F, Lippert H (2008) Laparoscopic approach to colorectal procedures in the obese patient: risk factor or benefit? Obes Surg 18:66-70.
6. WHO Consultation on Obesity (2000) Obesity: preventing and managing the global epidemic. World Health Organization (WHO), Geneva, Switzerland.
7. Nguyen NT, Lee SL, Anderson JT, Palmer LS, Canet F, Wolfe BM (2001) Evaluation of intraabdominal pressure after laparoscopic and open gastric bypass. Obes Surg 11:40-45.
8. Fried M, Krska Z, Danzig V (2001) Does the laparoscopic approach significantly affect cardiac functions in laparoscopic surgery? Pilot study in nonobese and morbidly obese patients. Obes Surg 11:293-296.
9. Nguyen NT, Wolfe BM (2005) The physiologic effects of pneumoperitoneum in the morbidly obese (review). Ann Surg 241:219-226.
10. Leroy J, Ananian P, Rubino F, Claudon B, Mutter D, Marescaux J (2005) The impact of obesity on technical feasibility and postoperative outcomes of laparoscopic left colectomy. Ann Surg 241:69-76. (Pubitemid 40040994)
11. Tuech JJ, Regenet N, Hennekinne S, Pessaux P, Bergamaschi R, Arnaud JP (2001) Laparoscopic colectomy for sigmoid diverticulitis in obese and nonobese patients: a prospective comparative study. Surg Endosc 15:1427-1430.
12. Dostalík J, Martínek L, Vávra P, Andel P, Gunka I, Gunková P (2005) Laparoscopic colorectal surgery in obese patients. Obes Surg 15:1328-1331.
13. Schwandner O, Farke S, Schiedeck TH, Bruch HP (2004) Laparoscopic colorectal surgery in obese and nonobese patients: do differences in body mass indices lead to different outcomes? Surg Endosc 18:1452-1456.
14. Kienle P, Weitz J, Benner A, Herfarth C, Schmidt J (2003) Laparoscopically assisted colectomy and ileoanal pouch procedure with and without protective ileostomy. Surg Endosc 17:716-720.
15. Tekkis PP, Senagore AJ, Delaney CP, Fazio VW (2005) Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right-sided and left-sided resections. Ann Surg 242:83-91.
16. Benoist S, Panis Y, Alves A, Valleur P (2000) Impact of obesity on surgical outcomes after colorectal resection. Am J Surg 179:275-281.