Valentine Lauren, Alvarez Angelica Hernandez, Weidman Allan A, Foppiani Jose, Hassell Natalie E, Elmer Nicholas, Hwang Paul, Kaul Sumedh, Rosenblatt William, Lin Samuel J
Aesthet Surg J Open Forum. 2023 Nov 28;6:ojad107. doi: 10.1093/asjof/ojad107. eCollection 2024.
Suction lipectomy (liposuction) is a popular cosmetic surgical procedure performed in the United States, but little has been documented regarding perioperative complications due to its outpatient nature.
This cross-sectional study aims to analyze the most common complications that accompany liposuction-related procedures and importantly estimate the total complication rate occurring at ambulatory surgical facilities.
Adult patients who experienced liposuction-related complications from 2019 to 2021 were identified in the reporting database of the global surgery accreditation authority, the American Association for Accreditation of Ambulatory Surgery Facilities (QUAD A). Patients were then divided by complication type and procedure location. Demographics and facility-specific variables were analyzed. Descriptive statistics were performed.
Overall, 984 patients were included, with a mean age of 44 years (interquartile range [IQR] 37-53) and a median BMI of 28.7 kg/m (IQR 25.7-32.2). The overall confirmed complication rate was found to be 0.40% (984/246,119). Unplanned emergency department presentation was the most common complication overall (24%). Wound disruption was associated with the longest median procedure length (261 min), and venous thromboembolism was associated with the highest median BMI (30.1 kg/m). The Southeast had the most complications (431), which accounted for 13/21 deaths (61.9%). Out of all complications, death was associated with the highest average annual case volume (241).
Procedures that involve liposuction are associated with a variety of medical and surgical complications. Given the high frequency and variability in how liposuction is performed, a thorough assessment of complications is critical to improve the safety of this procedure.
抽脂术（吸脂术）是美国一种常见的整形手术，但由于其门诊手术的性质，关于围手术期并发症的记录很少。
本横断面研究旨在分析抽脂相关手术伴随的最常见并发症，并重要的是估计门诊手术机构发生的总并发症率。
在全球手术认证机构美国门诊手术设施认证协会（QUAD A）的报告数据库中识别出2019年至2021年经历抽脂相关并发症的成年患者。然后将患者按并发症类型和手术部位进行划分。分析人口统计学和机构特定变量。进行描述性统计。
总体而言，纳入了984例患者，平均年龄44岁（四分位间距[IQR] 37 - 53），BMI中位数为28.7 kg/m（IQR 25.7 - 32.2）。发现总体确诊并发症率为0.40%（984/246,119）。计划外急诊就诊是总体上最常见的并发症（24%）。伤口裂开与最长的中位手术时长（261 分钟）相关，静脉血栓栓塞与最高的中位BMI（30.1 kg/m）相关。东南部并发症最多（431例），占13/21例死亡病例（61.9%）。在所有并发症中，死亡与最高的年均病例数（241例）相关。
涉及抽脂的手术与多种医疗和手术并发症相关。鉴于抽脂手术实施方式的高频率和变异性，对并发症进行全面评估对于提高该手术的安全性至关重要。
