Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Laboratory of Anesthesia and Critical Care Medicine, National-Local Joint Engineering Research Center of Translational Medicine of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China.
Front Endocrinol (Lausanne). 2023 Feb 9;14:1072540. doi: 10.3389/fendo.2023.1072540. eCollection 2023.
Few studies have investigated the correlation between visceral fat area (VFA) and early postoperative complications in patients with obesity undergoing bariatric surgery. This study aimed to investigate the relationship between VFA and early postoperative complications in patients with obesity following bariatric surgery.
The study was conducted at a tertiary university hospital. Patients with obesity who underwent laparoscopic sleeve gastrectomy between June 2016 and October 2020 were divided into two groups based on umbilical level VFA: high-VFA group (umbilical level VFA ≥ 100 cm) and low-VFA group (umbilical level VFA < 100 cm). Baseline characteristics, intraoperative and postoperative conditions, and early postoperative complications were compared between the groups. The primary outcome was early postoperative complications, and the secondary outcome was postoperative hospital stay.
The study included 152 patients, with 82 patients in the low-VFA group and 70 patients in the high-VFA group. The high-VFA group had a higher incidence of early postoperative complications (14.29% vs. 2.44%, P = 0.013) than the low-VFA group. The length of postoperative hospital stay did not differ significantly between the groups.
Our study suggests that excess VFA is an independent risk factor for early postoperative complications following bariatric surgery, and VFA may be used in preoperative evaluations.
很少有研究调查肥胖患者行减重手术后内脏脂肪面积（VFA）与早期术后并发症之间的相关性。本研究旨在探讨肥胖患者行减重手术后 VFA 与早期术后并发症之间的关系。
该研究在一家三级大学医院进行。根据脐水平 VFA 将 2016 年 6 月至 2020 年 10 月行腹腔镜袖状胃切除术的肥胖患者分为两组：高 VFA 组（脐水平 VFA≥100cm）和低 VFA 组（脐水平 VFA＜100cm）。比较两组患者的基线特征、术中及术后情况及早期术后并发症。主要结局为早期术后并发症，次要结局为术后住院时间。
研究共纳入 152 例患者，其中低 VFA 组 82 例，高 VFA 组 70 例。高 VFA 组的早期术后并发症发生率（14.29%比 2.44%，P=0.013）高于低 VFA 组。两组患者术后住院时间无显著差异。
本研究表明，过量的 VFA 是肥胖患者减重手术后早期术后并发症的独立危险因素，VFA 可用于术前评估。
