Introduction Intraabdominal visceral obesity may increase tech- of adverse outcomes in patients undergoing laparoscopic rec- nical challenges during laparoscopic rectal resection and hypo- tal cancer surgery. thetically therefore increase the risk of perioperative complica- tions. The aim of this study was to analyze intraabdominal obe- . . . sity by means of perirenal fat against risk of adverse outcomes in Keywords Rectal cancer Perirenal fat Visceral obesity patients undergoing laparoscopic rectal cancer surgery. Morbidity Methods This study was a single-institution retrospective analysis of consecutive patients undergoing laparoscopic total mesorectal surgery for rectal cancer between January 2009 and January 2013. Abdominal CTscans with intravenous con- Introduction trast were assessed in a blinded manner to estimate the perirenal fat area (cm ). Laparoscopic rectal cancer surgery may be technically chal- Result A total of 195 patients were included (median age lenging especially in obese patients with a narrow pelvis . 70 years (range 27–87), 58 women and 137 men) for analysis. Massive intraabdominal visceral obesity can make the surgical There was a moderate correlation between BMI and perirenal dissection more difficult and has been suggested as a risk fat area (r = 0.499, p = 0.001). Perirenal fat area was not
Langenbeck's Archives of Surgery – Springer Journals
Published: Nov 7, 2017
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