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The impact of high body mass index on patients undergoing robotic pancreatectomy: A propensity matched analysis
- Source :
- Surgery. 167(3)
- Publication Year :
- 2019
-
Abstract
- Background Patients with high body mass index are associated with a higher risk of complications after open pancreatectomy. We aimed to investigate the perioperative outcome for patients with high body mass index after robotic pancreatectomy. Methods This is a retrospective, propensity-score matched cohort analysis. From our prospectively maintained database, we identified consecutive patients with body mass index >25 who underwent robotic pancreatectomy between January 2016 and December 2018. Propensity score matching with open pancreatectomy was applied in 1:2 fashion based on age, gender, American Society of Anesthesiologists classification, surgery type, histology, neoadjuvant therapy, and body mass index during the same study period. Results A total of 127 patients were included. The mean age for all patients was 61.7 ± 12.8 years and 65 (51.2%) were male. Median body mass index was 29.9 (interquartile range, 27.0–31.8) for both groups. Propensity score matching provided equally distributed general demographic and clinicopathological factors. Robotic pancreatectomy was associated with decreased blood loss (100 mL vs 300 mL, P Conclusion Robotic pancreatectomy is associated with decreased blood loss and shorter length of hospital stay in overweight patients. Robotic approach may help alleviate morbidity in overweight patients undergoing pancreatectomy.
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
Operative Time
Blood Loss, Surgical
030230 surgery
Overweight
Body Mass Index
03 medical and health sciences
0302 clinical medicine
Pancreatectomy
Postoperative Complications
Robotic Surgical Procedures
Interquartile range
medicine
Humans
Mass index
Prospective Studies
Propensity Score
Aged
Retrospective Studies
business.industry
Perioperative
Length of Stay
Middle Aged
Surgery
Pancreatic Neoplasms
Treatment Outcome
030220 oncology & carcinogenesis
Propensity score matching
Median body
Female
medicine.symptom
business
Body mass index
Subjects
Details
- ISSN :
- 15327361
- Volume :
- 167
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Surgery
- Accession number :
- edsair.doi.dedup.....4942eec1e9f4d0e0fb4f2443c8daf0c9