Impact of Increased Body Mass Index on Laparoscopic Surgery for Rectal Cancer

2011 ◽  
Vol 46 (2) ◽  
pp. 87-93 ◽  
Author(s):  
Tayfun Karahasanoglu ◽  
Ismail Hamzaoglu ◽  
Bilgi Baca ◽  
Erman Aytac ◽  
Ebru Kirbiyik
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Body Mass

scholarly journals The effect of increasing body mass index on laparoscopic surgery for colon and rectal cancer

2018 ◽  
Vol 20 (9) ◽  
pp. 778-788 ◽  
Author(s):  
S. Bell ◽  
J. C. Kong ◽  
R. Wale ◽  
M. Staples ◽  
K. Oliva ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Body Mass ◽  
Colon And Rectal Cancer

scholarly journals Laparoscopic surgery for endometrial cancer: increasing body mass index does not impact postoperative complications

2011 ◽  
Vol 22 (3) ◽  
pp. 168 ◽  
Author(s):  
C. William Helm ◽  
Cibi Arumugam ◽  
Mary E. Gordinier ◽  
Daniel S. Metzinger ◽  
Jianmin Pan ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Endometrial Cancer ◽  
Laparoscopic Surgery ◽  
Postoperative Complications ◽  
Body Mass

The effect of increased body mass index values on surgical outcomes after radical resection for low rectal cancer

Surgery Today ◽  
2019 ◽  
Vol 49 (5) ◽  
pp. 401-409 ◽  
Author(s):  
Xubing Zhang ◽  
Qingbin Wu ◽  
Chaoyang Gu ◽  
Tao Hu ◽  
Liang Bi ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Surgical Outcomes ◽  
Radical Resection ◽  
Low Rectal Cancer

scholarly journals Ultimate Stomaless Technique of Two-Stage Operation for Lower Rectal Cancer Performed on a Patient with a High Body Mass Index: The Reborn Operation (Novel Pull-Through Method)

2020 ◽  
Vol 14 (1) ◽  
pp. 248-254 ◽  
Author(s):  
Toshikatsu Nitta ◽  
Keitaro Tanaka ◽  
Jun Kataoka ◽  
Masato Ohta ◽  
Masatsugu Ishii ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Near Infrared ◽  
Coloanal Anastomosis ◽  
High Body Mass Index ◽  
Infrared Light ◽  
Lower Rectal Cancer ◽  
High Body ◽  
Pull Through

A 58-year-old Japanese man, with a body mass index of 41.7 kg/m2 (height: 179.8 cm; weight: 133.8 kg), underwent a laparoscopic pull-through procedure with delayed coloanal anastomosis performed in two surgical stages for lower rectal cancer. This method was selected because the volume of the abdominal wall was fairly thick and it would have been impossible to perform diverting ileostomy and colostomy, which are routinely conducted. First, a colonic pull-through segment of about 10 cm was left outside the anal canal without any tension and was fixed by sutures under indocyanine green fluorescence imaging (ICG FI). The second surgical stage was performed 10 days after the first operation under general anesthesia. Final coloanal anastomosis was performed with near-infrared light without diverting the stoma under ICG FI. The patient demonstrated a good postoperative course and was discharged from our hospital in remission 15 days after the latest operation. We could inspect the coloanal flow of the anastomosis under ICG FI before the reconstruction. This procedure was considered to be a standard method, but it was overtaken by new technology, ICG FI. This procedure is an ultimate stomaless surgery for ultralow rectal cancer that can be performed in selected cases, such as in patients with a high body mass index and with hope for stomaless operation.

The Impact of Body Mass Index on the Surgical Outcomes in Open Rectal Cancer Surgery

2016 ◽  
Vol 14 (10) ◽  
pp. 1-5
Author(s):  
Ali Solmaz ◽  
Osman Gülçiçek ◽  
Elif Binboğa ◽  
Aytaç Biricik ◽  
Candaş Erçetin ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Surgical Outcomes ◽  
Cancer Surgery ◽  
Rectal Cancer Surgery ◽  
The Impact

Body Habitus and Dynamic Surgical Conditions Independently Impair Pulmonary Mechanics during Robotic-assisted Laparoscopic Surgery

2020 ◽  
Vol 133 (4) ◽  
pp. 750-763 ◽  
Author(s):  
William G. Tharp ◽  
Serena Murphy ◽  
Max W. Breidenstein ◽  
Collin Love ◽  
Alisha Booms ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Laparoscopic Surgery ◽  
Body Mass ◽  
Mechanical Strain ◽  
Lung Mechanics ◽  
Pulmonary Mechanics ◽  
Positive End Expiratory Pressure ◽  
Body Habitus ◽  
Wide Range ◽  
Surgical Conditions

Background Body habitus, pneumoperitoneum, and Trendelenburg positioning may each independently impair lung mechanics during robotic laparoscopic surgery. This study hypothesized that increasing body mass index is associated with more mechanical strain and alveolar collapse, and these impairments are exacerbated by pneumoperitoneum and Trendelenburg positioning. Methods This cross-sectional study measured respiratory flow, airway pressures, and esophageal pressures in 91 subjects with body mass index ranging from 18.3 to 60.6 kg/m2. Pulmonary mechanics were quantified at four stages: (1) supine and level after intubation, (2) with pneumoperitoneum, (3) in Trendelenburg docked with the surgical robot, and (4) level without pneumoperitoneum. Subjects were stratified into five body mass index categories (less than 25, 25 to 29.9, 30 to 34.9, 35 to 39.9, and 40 or higher), and respiratory mechanics were compared over surgical stages using generalized estimating equations. The optimal positive end-expiratory pressure settings needed to achieve positive end-expiratory transpulmonary pressures were calculated. Results At baseline, transpulmonary driving pressures increased in each body mass index category (1.9 ± 0.5 cm H2O; mean difference ± SD; P < 0.006), and subjects with a body mass index of 40 or higher had decreased mean end-expiratory transpulmonary pressures compared with those with body mass index of less than 25 (–7.5 ± 6.3 vs. –1.3 ± 3.4 cm H2O; P < 0.001). Pneumoperitoneum and Trendelenburg each further elevated transpulmonary driving pressures (2.8 ± 0.7 and 4.7 ± 1.0 cm H2O, respectively; P < 0.001) and depressed end-expiratory transpulmonary pressures (–3.4 ± 1.3 and –4.5 ± 1.5 cm H2O, respectively; P < 0.001) compared with baseline. Optimal positive end-expiratory pressure was greater than set positive end-expiratory pressure in 79% of subjects at baseline, 88% with pneumoperitoneum, 95% in Trendelenburg, and ranged from 0 to 36.6 cm H2O depending on body mass index and surgical stage. Conclusions Increasing body mass index induces significant alterations in lung mechanics during robotic laparoscopic surgery, but there is a wide range in the degree of impairment. Positive end-expiratory pressure settings may need individualization based on body mass index and surgical conditions. Editor’s Perspective What We Already Know about This Topic What This Article Tells Us That Is New

Body mass index and risk of colon and rectal cancer stratified by tumor location and sex

2004 ◽  
Vol 14 (8) ◽  
pp. 592-593
Author(s):  
P.T. Campbell ◽  
M. Manno ◽  
J.R. McLaughlin ◽  
M. Cotterchio ◽  
N. Klar ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Rectal Cancer ◽  
Body Mass ◽  
Tumor Location ◽  
Colon And Rectal Cancer
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