体重指数对腹腔镜直肠癌根治术的影响及分析

目的:回顾性分析我院同一组医生施行腹腔镜下直肠癌根治术患者的临床资料,探讨体重指数对于腹腔镜直肠癌根治术的影响,评估腹腔镜下直肠癌根治术在肥胖患者中的应用。方法:选择2009年1月至2010年12月因直肠癌在我院行腹腔镜直肠癌根治术的患者199例为研究对象,根据患者不同体重指数分为3组,正常体重组:BMI24.0 kg/m2143例、超重组:24.0=BMI

Study of Body Mass Index(BMI) for the Impact of Laparoscopic Radical Resection of Rectal Cancer

Objective: To Study of body mass index (BMI) for the impact of laparoscopic radical resection of rectal cancer. Methods: 199 patients who were diagnosed with rectal cancer treated with laparoscopic radical resection between January 2009 and December 2010 were divided with normal weight group: BMI<24.0 kg/m2 (n=143), ultra weight group: 24.0<=BMI<28.0 kg/m2 (n=50), and obesity group: BMI>=28.0 kg/m2 (n=6). Then, we made the comparison among 3 groups according the parameters of perioperative period, including operation time, estimated blood loss, postoperative hospital stay, and lymph node number. Results: All patients were successfully completed operation, and no intraoperative deaths. 1 patients were converted to laparotomy (0.5%), and 1 patients died 3 days after operation. Through the comparison, there were no statistically significant in operation time, blood loss, time in hospital, and lymph node number (P>0.05). Operating time for normal weight group, ultra weight group and obesity group was 183.5± 49.1 min, 191.2± 54.3 min, 170.0± 26.8 min; blood loss was 65.6± 66.4 mL, 59.9± 61.1 mL, 83.3± 20.4 mL; lymph node number was 10.5± 6.8, 9.0± 4.3, 11.5± 10.0; time in hospital was 13.1± 3.8 days, 13.1± 3.6 days, 12.7± 1.0 days.Conclusion: Laparoscopic radical surgery for rectal cancer is a safe, effective operation mode, which can be safely used in patients with obesity, and reflect its minimally invasive advantages.