Publication

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

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.
Author
Chen, Zewei
Yin, Mengqiu
Fu, Junhao
Yu, Shian
Syn, Nicholas L
Chua, Darren W
Kingham, T Peter
Zhang, Wanguang
Hoogteijling, Tijs J
Aghayan, Davit L
Siow, Tiing Foong
Scatton, Olivier
Herman, Paulo
Marino, Marco V
Mazzaferro, Vincenzo
Chiow, Adrian K H
Sucandy, Iswanto
Ivanecz, Arpad
Choi, Sung Hoon
Lee, Jae Hoon
Prieto, Mikel
Vivarelli, Marco
Giuliante, Felice
Ruzzenente, Andrea
Yong, Chee-Chien
Dokmak, Safi
Fondevila, Constantino
Efanov, Mikhail
Morise, Zenichi
Di Benedetto, Fabrizio
Brustia, Raffaele
Dalla Valle, Raffaele
Boggi, Ugo
Geller, David
Belli, Andrea
Memeo, Riccardo
Gruttadauria, Salvatore
Mejia, Alejandro
Park, James O
Rotellar, Fernando
Choi, Gi-Hong
Robles-Campos, Ricardo
Wang, Xiaoying
Sutcliffe, Robert P
Pratschke, Johann
Lai, Eric C H
Chong, Charing C N
D'Hondt, Mathieu
Monden, Kazuteru
Lopez-Ben, Santiago
Liu, Qu
Liu, Rong
Ferrero, Alessandro
Ettorre, Giuseppe Maria
Cipriani, Federica
Cherqui, Daniel
Liang, Xiao
Soubrane, Olivier
Wakabayashi, Go
Troisi, Roberto I
Cheung, Tan-To
Kato, Yutaro
Sugioka, Atsushi
Han, Ho-Seong
Long, Tran Cong Duy
Fuks, David
Abu Hilal, Mohammad
Aldrighetti, Luca
Chen, Kuo-Hsin
Edwin, Bjørn
Goh, Brian K P
Citations
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Date
2023-05-03
Type
Article
Subject
Gastroenterology, Surgery, Oncology. Pathology.
Collections
UHB Colorectal Surgery
GEH Cardiology and Cardio Respiratory Unit
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Citation
Chen Z, Yin M, Fu J, Yu S, Syn NL, Chua DW, Kingham TP, Zhang W, Hoogteijling TJ, Aghayan DL, Siow TF, Scatton O, Herman P, Marino MV, Mazzaferro V, Chiow AKH, Sucandy I, Ivanecz A, Choi SH, Lee JH, Prieto M, Vivarelli M, Giuliante F, Ruzzenente A, Yong CC, Dokmak S, Fondevila C, Efanov M, Morise Z, Di Benedetto F, Brustia R, Dalla Valle R, Boggi U, Geller D, Belli A, Memeo R, Gruttadauria S, Mejia A, Park JO, Rotellar F, Choi GH, Robles-Campos R, Wang X, Sutcliffe RP, Pratschke J, Lai ECH, Chong CCN, D'Hondt M, Monden K, Lopez-Ben S, Liu Q, Liu R, Ferrero A, Ettorre GM, Cipriani F, Cherqui D, Liang X, Soubrane O, Wakabayashi G, Troisi RI, Cheung TT, Kato Y, Sugioka A, Han HS, Long TCD, Fuks D, Abu Hilal M, Aldrighetti L, Chen KH, Edwin B, Goh BKP; International robotic and laparoscopic liver resection study group investigators are coauthors of this study. Impact of body mass index on the difficulty and outcomes of laparoscopic left lateral sectionectomy. Eur J Surg Oncol. 2023 Aug;49(8):1466-1473. doi: 10.1016/j.ejso.2023.03.235. Epub 2023 May 3. PMID: 37188553.
Journal / Source Title
European Journal of Surgical Oncology
DOI
10.1016/j.ejso.2023.03.235
URI
http://hdl.handle.net/20.500.14200/1164
PMID
37188553
Publisher
Elsevier
Publisher’s URL
http://www.sciencedirect.com/science/journal/07487983
Publisher’s statement
Note / Copyright