Impact of visceral obesity on the short-term outcomes after laparoscopic appendectomy.
Scand J Gastroenterol
; 58(7): 757-763, 2023 07.
Article
em En
| MEDLINE
| ID: mdl-36728716
ABSTRACT
OBJECTIVE:
To investigate the effect of visceral obesity on short-term outcomes after laparoscopic appendectomy (LA).METHODS:
a retrospective study on 441 patients who underwent a LA between July 2019 and July 2020. According to the cutoff visceral fat area (VFA) for visceral obesity, the patients were divided into two groups visceral obesity group (n = 123) and non-visceral obesity group (n = 318). The general information, comorbidities, perioperative monitoring indicators, and postoperative complications of the patients were collected.RESULTS:
Compared with the non-visceral obesity group, the proportion of overweight patients (56.10%), preoperative white blood cell count (12.92 (9.99, 15.58)*109mg/dl), postoperative white blood cell count (9.71 ± 3.91*109mg/dl), and hospitalization costs (16,220.93 ± 7038.76¥) in the visceral obesity group were significantly different (all p < 0.05). Additionally, multivariate logistic regression analysis revealed that visceral obesity (2.679, 95%CI 1.155-5.849, p = 0.027), indwelling drainage tube (7.832, 95%CI 2.151-27.428, p < 0.001), and perforated appendicitis (3.181, 95%CI 1.195-7.136, p = 0.025) were identified to be independent risk factors for incision infection after LA. The area under receiver operating characteristic (ROC) curve value for VFA predicting incisional infection after LA was 0.770.CONCLUSIONS:
Visceral obesity is one of the independent risk factors for incisional infection after LA, and can be used as one of the reference indicators for prognostic assessment of short-term outcomes after LA.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Apendicite
/
Laparoscopia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Scand J Gastroenterol
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
China