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Visceral obesity is a significant risk factor for incisional hernia after laparoscopic colorectal surgery: A single-center review
- Source :
- Asian Journal of Endoscopic Surgery. 11:373-377
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- INTRODUCTION Although laparoscopic surgery uses relatively small incisions, incisional hernia after surgery is not uncommon. However, the incidence of incisional hernia and its risk factors are not well known. The purpose of our study was to investigate risk factors for incisional hernia after laparoscopic colorectal cancer surgery. METHODS The study group consisted of 212 patients who underwent laparoscopic colorectal cancer surgery at Hiroshima Prefectural Hospital between November 2008 and October 2013. Diagnosis of incisional hernia was performed by postoperative CT. The visceral fat area (VFA) and subcutaneous fat area at the level of the umbilicus were calculated using an image analysis system. For statistical analysis, Fisher's exact test or Student's t-test were used for univariate analysis, and logistic regression analysis was used for multivariate analysis. The cut-off value for risk factors was calculated from the receiver-operator curve. RESULTS Incisional hernia was observed in 18 patients (8.5%). On univariate analysis, female sex (P = 0.04), older age (P = 0.02), subcutaneous fat area (P 25 kg/m2 (P 110 cm2 (P
- Subjects :
- Laparoscopic surgery
medicine.medical_specialty
Univariate analysis
Incisional hernia
business.industry
medicine.medical_treatment
Umbilicus (mollusc)
Incidence (epidemiology)
General Medicine
030230 surgery
medicine.disease
Single Center
Colorectal surgery
Surgery
03 medical and health sciences
Exact test
surgical procedures, operative
0302 clinical medicine
030220 oncology & carcinogenesis
medicine
business
Subjects
Details
- ISSN :
- 17585902
- Volume :
- 11
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Endoscopic Surgery
- Accession number :
- edsair.doi...........d34869f15bdf967fa53e2bc3320a4708