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.
Short-term outcomes of minimally invasive gastrectomy in population with obesity versus population without obesity: the obesity paradox / Milone, Marco; D'Amore, Anna; Baiocchi, Gian Luca; Cianchi, Fabio; De Manzoni, Giovanni; De Pascale, Stefano; Degiuli, Maurizio; Ercolani, Giorgio; Ferrari, Giovanni; Fortuna, Laura; Fumagalli, Romario Uberto; Gualtierotti, Monica; Marchesi, Federico; Peri, Andrea; Puccetti, Francesco; Luc, Marco Realis; Reddavid, Rossella; Rosati, Riccardo; Solaini, Leonardo; Staderini, Fabio; Valente, Marina; Viganò, Jacopo; Elmore, Ugo; Giacopuzzi, Simone. - In: UPDATES IN SURGERY. - ISSN 2038-131X. - (2025). [10.1007/s13304-025-02144-x]
Short-term outcomes of minimally invasive gastrectomy in population with obesity versus population without obesity: the obesity paradox
Puccetti, Francesco;Rosati, Riccardo;Elmore, UgoPenultimo
;
2025-01-01
Abstract
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.| File | Dimensione | Formato | |
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