Journal of Surgical Research
Volume 163, Issue 1 , Pages 35-39 , September 2010

Obesity Increases Wound Complications in Rectal Cancer Surgery

  • Courtney J. Balentine, M.D.

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
    • Michael E. DeBakey Veterans Affairs Hospital, Houston, Texas
    • Corresponding Author InformationTo whom correspondence and reprint requests should be addressed at Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77057.
    • ,
  • Jonathan Wilks, M.D.

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
    • Michael E. DeBakey Veterans Affairs Hospital, Houston, Texas
    • ,
  • Celia Robinson, M.D.

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
    • Michael E. DeBakey Veterans Affairs Hospital, Houston, Texas
    • ,
  • Christy Marshall, M.D.

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
    • Michael E. DeBakey Veterans Affairs Hospital, Houston, Texas
    • ,
  • Daniel Anaya, M.D.

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
    • Michael E. DeBakey Veterans Affairs Hospital, Houston, Texas
    • ,
  • Daniel Albo, M.D., Ph.D.

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
    • Michael E. DeBakey Veterans Affairs Hospital, Houston, Texas
    • ,
  • David H. Berger, M.D., M.H.C.M.

      Affiliations

    • Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas
    • Michael E. DeBakey Veterans Affairs Hospital, Houston, Texas

Received 4 January 2010

References 

  1. Dindo D, Muller MK, Weber M, et al. Obesity in general elective surgery. Lancet. 2003;361:2032
  2. Gendall KA, Raniga S, Kennedy R, et al. The impact of obesity on outcome after major colorectal surgery. Dis Colon Rectum. 2007;50:2223
  3. Merkow RP, Bilimoria KY, McCarter MD, et al. Effect of body mass index on short-term outcomes after colectomy for cancer. J Am Coll Surg. 2009;208:53
  4. Mullen JT, Davenport DL, Hutter MM, et al. Impact of body mass index on perioperative outcomes in patients undergoing major intra-abdominal cancer surgery. Ann Surg Oncol. 2008;15:2164
  5. Pikarsky AJ, Saida Y, Yamaguchi T, et al. Is obesity a high-risk factor for laparoscopic colorectal surgery?. Surg Endosc. 2002;16:855
  6. Delaney CP, Pokala N, Senagore AJ, et al. Is laparoscopic colectomy applicable to patients with body mass index greater than 30? A case-matched comparative study with open colectomy. Dis Colon Rectum. 2005;48:975
  7. Dostalik J, Martinek L, Vavra P, et al. Laparoscopic colorectal surgery in obese patients. Obes Surg. 2005;15:1328
  8. Leroy J, Ananian P, Rubino F, et al. The impact of obesity on technical feasibility and postoperative outcomes of laparoscopic left colectomy. Ann Surg. 2005;241:69
  9. Schwandner O, Farke S, Schiedeck TH, et al. Laparoscopic colorectal surgery in obese and nonobese patients: Do differences in body mass indices lead to different outcomes?. Surg Endosc. 2004;18:1452
  10. Senagore AJ, Delaney CP, Madboulay K, et al. Laparoscopic colectomy in obese and nonobese patients. J Gastrointest Surg. 2003;7:558
  11. Nitori N, Hasegawa H, Ishii Y, et al. Impact of visceral obesity on short-term outcome after laparoscopic surgery for colorectal cancer: A single Japanese center study. Surg Laparosc Endosc Percutan Tech. 2009;19:324
  12. Khuri SF, Daley J, Henderson W, et al. The Department of Veterans Affairs NSQIP: The first national, validated, outcome-based, risk-adjusted, and peer-controlled program for the measurement and enhancement of the quality of surgical care. National VA Surgical Quality Improvement Program. Ann Surg. 1998;228:491
  13. Hawn MT, Bian J, Leeth RR, et al. Impact of obesity on resource utilization for general surgical procedures. Ann Surg. 2005;241:821–826discussion 826
  14. Bilimoria KY, Bentrem DJ, Merkow RP, et al. Laparoscopic-assisted versus open colectomy for cancer: Comparison of short-term outcomes from 121 hospitals. J Gastrointest Surg. 2008;12:2001
  15. Seki Y, Ohue M, Sekimoto M, et al. Evaluation of the technical difficulty performing laparoscopic resection of a rectosigmoid carcinoma: Visceral fat reflects technical difficulty more accurately than body mass index. Surg Endosc. 2007;21:929
  16. Tsujinaka S, Konishi F, Kawamura YJ, et al. Visceral obesity predicts surgical outcomes after laparoscopic colectomy for sigmoid colon cancer. Dis Colon Rectum. 2008;51:1757;discussion 1765
  17. Edmiston CE, Krepel C, Kelly H, et al. Perioperative antibiotic prophylaxis in the gastric bypass patient: Do we achieve therapeutic levels?. Surgery. 2004;136:738
  18. Dhadwal K, Al-Ruzzeh S, Athanasiou T, et al. Comparison of clinical and economic outcomes of two antibiotic prophylaxis regimens for sternal wound infection in high-risk patients following coronary artery bypass grafting surgery: A prospective randomized double-blind controlled trial. Heart. 2007;93:1126
  19. Alexander JW, Rahn R, Goodman HR. Prevention of surgical site infections by an infusion of topical antibiotics in morbidly obese patients. Surg Infect (Larchmt). 2009;10:53

PII: S0022-4804(10)00175-7

doi: 10.1016/j.jss.2010.03.012

Journal of Surgical Research
Volume 163, Issue 1 , Pages 35-39 , September 2010

Article Tools

* Image Usage & Resolution