الفهرس 
OBESITY RELATED HEALTH PROBLEMSOnly 14 pages are availabe for public view
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Abstract
Because of its many advantages, minimally invasive surgery, or MIS, has emerged as the gold standard for treating colorectal disorders in the industrialized world. Obesity is a technological hurdle for minimally invasive colorectal resection surgery as it grows more common. Numerous research projects have looked at the clinical results of surgery in obese patients.
To evaluate Impact of obesity on minimally invasive colorectal surgery.
This retrospective comparative study was conducted at colorectal unit - General Surgery Department, Ain Shams Hospitals on patients who underwent laparoscopic colorectal surgery for various diseases on elective basis through the last 3 years. They were divided into two groups: control (non-obese) and study (obese) groups. We collected data of the patients from records in the colorectal unit. Patients’ data were collected from perioperative records of each patient (intraoperative events, conversion rate and complications). Cases were assessed as regard operative time, conversion rate, intra-operative events, chest problems from anaesthesia due to co2 inflation to make pneumoperitoneum for laparoscope and early postoperative complications as surgical site infection, leakage and hospital stay.
As regard operative time, there was a statistically significant long time of operation time in obese group in comparison to non-obese group with p-value <0.001. As regard intraoperative events and conversion rate, estimated blood loss was a bit higher in the obese group with no statistical significance. Five cases in the obese group were converted to open, while only one case in the non-obese group was converted to open. However, this was found statistically non-significant with p-value 0.193. We had 9 cases of SSI in the obese group versus 2 cases in the non-obese group.
We can conclude that obesity had an adverse impact on outcomes of minimally invasive colorectal surgeries.
CONCLUSION
We can conclude that obesity had an adverse impact on outcomes of minimally invasive colorectal surgeries. Obese cases had prolonged operative time, higher probability of conversion rate and higher frequency of postoperative complications as SSI, leakage and other general complications. Increased BMI had no impact on operative events and postoperative stay.