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The influence of body mass index on clinical short‐term outcomes in robotic colorectal surgery
Author(s) -
LagaresGarcia Jorge,
O'Connell Abigail,
Firilas Anthony,
Robinson Christopher Chad,
Dumas Bonnie P.,
Hagen Monika E.
Publication year - 2016
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1695
Subject(s) - medicine , body mass index , colorectal cancer , overweight , robotic surgery , colorectal surgery , prospective cohort study , surgery , abdominal surgery , cancer
Abstract Background Robotic surgery has been developed to address the technical limitations of laparoscopic surgery and might result in similar outcomes for patients with low and high body mass index (BMI). Methods Demographic, peri‐operative data and surrogate oncologic markers for colorectal cancer of patients that underwent robotic colorectal procedures were collected in a prospective database and analyzed. Results 103 consecutive patients (36 normal‐weight, 33 overweight, 34 obese) underwent robotic colorectal surgery from 11/2011 to 05/2012. While operating room (OR) time was longer for the obese patients (123.4 vs 137.9 and 154.7 min), results for estimated blood loss (104.2 vs 153 and 155.9 mL), conversions (2.8 vs 6.1 and 5.9%), complications (19.4 vs 21.2 and 32.4%), re‐admissions (11.1 vs 112.1 and 20.6) and mortality (0% for all) were comparable. BMI did not affect the surrogate markers in patients with malignancies. Conclusions Data demonstrates that patient BMI does not have a significant impact on short‐term clinical outcomes during robotic colorectal surgery. Copyright © 2015 John Wiley & Sons, Ltd.