Hughes Tasha M, Shah Kejal, Noria Sabrena, Pawlik Timothy
The Ohio State University Wexner Medical Center, Columbus, Ohio.
J Surg Oncol. 2018 Apr;117(5):1009-1019. doi: 10.1002/jso.24999. Epub 2018 Feb 6.
We systematically reviewed 118 studies comparing peri-operative outcomes among obese and non-obese patients. Obesity was associated with longer operative time in 60% of available studies. Just 35.8% of studies that evaluated overall morbidity identified high morbidity in obese patients. Lymph node yield or surgical margin status, was only affected by obesity in 19.6% of studies. In this review obesity was frequently found to have no effect on peri-operative and oncologic outcomes.
我们系统回顾了118项比较肥胖和非肥胖患者围手术期结局的研究。在60%的现有研究中,肥胖与手术时间延长相关。在评估总体发病率的研究中,只有35.8%的研究发现肥胖患者发病率高。在19.6%的研究中,淋巴结收获量或手术切缘状态仅受肥胖影响。在本次综述中,经常发现肥胖对围手术期和肿瘤学结局没有影响。