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Title of Journal: Int J Colorectal Dis

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Abbravation: International Journal of Colorectal Disease

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Springer-Verlag

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10.1016/j.abb.2007.04.041

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1432-1262

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Impact of fat obesity on laparoscopic total mesore

Authors: Jeonghyun Kang SongEe Baek Taehyung Kim Hyuk Hur Byung Soh Min Joon Seok Lim Nam Kyu Kim Kang Young Lee
Publish Date: 2011/11/09
Volume: 27, Issue: 4, Pages: 497-505
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Abstract

Between June 2003 and June 2009 a total of 142 patients who had undergone LTME were included Patients were divided into the obese group OG and the nonobese group NOG according to BMI and visceral fat area VFA Obesity was defined by BMI ≥25 kg/m² or VFA ≥130 cm²There were 37 260 and 29 204 obese patients according to BMI and VFA respectively The OG defined by both VFA and BMI had a significantly longer operative time The VFO group experienced more frequent conversion to laparotomy 172 vs 50 P = 0047 and significantly higher blood loss during surgery 2058 ± 2570 mL vs 1025 ± 2199 mL P = 0031 whereas there was no significant difference when defined by BMI Time to first flatus was significantly longer in the VFO group compared with the NOG mean 35 days vs 27 days P = 0046 whereas it was not significantly different when classified by BMI Regarding oncologic parameters the VFO group had a significantly higher number of patients from whom less than 12 total lymph nodes were retrieved 655 vs 345 P = 0002 however there was no difference between the two groups defined by BMI

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