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<p>This study aims to compare the short-term outcomes after minimally invasive gastrectomy between obese and non-obese population. Our analysis included data of 713 patients from ten departments of surgery. They were divided in non-obese group and obese group with 617 and 96 patients respectively. Significant differences were found in terms of mortality at 90&#xa0;days (obese: 0 vs non-obese: 27, <i>p</i> = 0.037). Intraoperative data showed no significant differences in terms of conversion (obese: 4 vs non-obese: 43, <i>p</i> = 0.303). About postoperative complications, significant differences between the two groups were found only in terms of surgical infection (obese: 13 vs non-obese: 38, <i>p</i> = 0.009). About oncological outcomes, no differences were found about retrieved lymph nodes (obese: 30.71 ± 18.44 vs non-obese: 32.93 ± 17.62, <i>p</i> = 0.596) and about surgical radicality (R0) (obese:94 vs non-obese:594, <i>p</i> = 0.415). Obesity doesn’t worsen postoperative outcomes and minimally invasive gastrectomy in obese patients is related to a lower postoperative mortality.</p>

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Short-term outcomes of minimally invasive gastrectomy in population with obesity versus population without obesity: the obesity paradox

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月3日

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  • Marco Milone,
  • Anna D’Amore,
  • Gian Luca Baiocchi,
  • Fabio Cianchi,
  • Giovanni De Manzoni,
  • Stefano De Pascale,
  • Maurizio Degiuli,
  • Giorgio Ercolani,
  • Giovanni Ferrari,
  • Laura Fortuna,
  • Romario Uberto Fumagalli,
  • Monica Gualtierotti,
  • Federico Marchesi,
  • Andrea Peri,
  • Francesco Puccetti,
  • Marco Realis Luc,
  • Rossella Reddavid,
  • Riccardo Rosati,
  • Leonardo Solaini,
  • Fabio Staderini,
  • Marina Valente,
  • Jacopo Viganò,
  • Ugo Elmore,
  • Simone Giacopuzzi

摘要

This study aims to compare the short-term outcomes after minimally invasive gastrectomy between obese and non-obese population. Our analysis included data of 713 patients from ten departments of surgery. They were divided in non-obese group and obese group with 617 and 96 patients respectively. Significant differences were found in terms of mortality at 90 days (obese: 0 vs non-obese: 27, p = 0.037). Intraoperative data showed no significant differences in terms of conversion (obese: 4 vs non-obese: 43, p = 0.303). About postoperative complications, significant differences between the two groups were found only in terms of surgical infection (obese: 13 vs non-obese: 38, p = 0.009). About oncological outcomes, no differences were found about retrieved lymph nodes (obese: 30.71 ± 18.44 vs non-obese: 32.93 ± 17.62, p = 0.596) and about surgical radicality (R0) (obese:94 vs non-obese:594, p = 0.415). Obesity doesn’t worsen postoperative outcomes and minimally invasive gastrectomy in obese patients is related to a lower postoperative mortality.