Effect of visceral obesity on the short-term outcomes following robotic-assisted radic-al resection of rectal cancer
10.12354/j.issn.1000-8179.2023.20231074
- VernacularTitle:内脏肥胖对机器人直肠癌根治术后近期疗效的影响
- Author:
Xuetao ZHANG
1
;
Liang LI
;
Renyi YANG
;
Yongkang MENG
;
Jiahao SUN
;
Shuxiang DU
;
Yingzhi ZHAO
;
Dongli XU
;
Wei ZHANG
;
Gang WU
Author Information
1. 郑州大学人民医院胃肠外科(河南省人民医院)胃肠外科(郑州市 450003)
- Keywords:
Da Vinci robotic surgery;
rectal neoplasm;
visceral obesity;
visceral fat area(VFA)
- From:
Chinese Journal of Clinical Oncology
2023;50(22):1153-1158
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of visceral obesity on the short-term curative effect of Da Vinci robotic-assisted radical resec-tion for rectal cancers.Methods:Clinical and pathological data of patients with rectal cancer undergoing Da Vinci robotic-assisted surgery,admitted to People's Hospital of Zhengzhou University and Cancer Hospital of Zhengzhou University from November 2019 to June 2022 were retrospectively analyzed.Visceral fat area(VFA)≥100 cm2 was used as the standard to define visceral obesity.Patients were categorized in-to visceral and non-visceral obesity groups.The short-term efficacy of the two groups was evaluated,and the influencing factors of post-operative complications were analyzed using univariate and multivariate Logistic regression.Results:Among a total of 169 patients,93 were included in the visceral obesity group and 76 in the non-visceral obesity group.There was no significant difference in the baseline data between the two groups(P>0.05).There was no conversion to laparotomy in the non-visceral obesity group,and the conversion rate was 1.1%(1/93)in the visceral obesity group.The second operation rate was 2.2%(2/93)in the visceral obesity group and 1.3%(1/76)in the non-visceral obesity group with no statistical difference between the two groups.There were no significant differences in the operation dur-ation,intraoperative blood loss,number of lymph node dissections,and total postoperative complication rate between the two groups(P>0.05).Multivariate Logistic regression analysis revealed that an NRS≥3 independently contributed as a risk factor for postoperative com-plications(OR=3.190,95%CI:1.240-8.210,P=0.016).Conclusions:An NRS≥3 is an independent risk factor for complications post-robotic rad-ical rectal cancer surgery.The robotic surgical platform can overcome obesity-related limitations and is equally safe and effective for pa-tients with visceral obesity presenting with rectal cancer.
