Short-term outcomes of minimally invasive gastrectomy in population with obesity versus population without obesity: the obesity paradox
Year: 2025
Type: article
Study design: Observational Study
Abstract: This study aims to compare the short-term outcomes after minimally invasive gastrectomy between obese and non-obese population. Our analysis included data of 713 patients from ten departments of surgery. They were divided in non-obese group and obese group with 617 and 96 patients respectively. Significant differences were found in terms of mortality at 90 days (obese: 0 vs non-obese: 27, p = 0.037). Intraoperative data showed no significant differences in terms of conversion (obese: 4 vs non-obese: 43, p = 0.303). About postoperative complications, significant differences between the two groups were found only in terms of surgical infection (obese: 13 vs non-obese: 38, p = 0.009). About oncological outcomes, no differences were found about retrieved lymph nodes (obese: 30.71 ± 18.44 vs non-obese: 32.93 ± 17.62, p = 0.596) and about surgical radicality (R0) (obese:94 vs non-obese:594, p = 0.415). Obesity doesn't worsen postoperative outcomes and minimally invasive gastrectomy in obese patients is related to a lower postoperative mortality.
Source: Updates in Surgery
Authors: Marco Milone, Anna D’Amore, Gian Luca Baiocchi, Fabio Cianchi, Giovanni De Manzoni, Stefano De Pascale, Maurizio Degiuli, Giorgio Ercolani, Giovanni Ferrari, Laura Fortuna, Romario Uberto Fumagalli, Monica Gualtierotti, Federico Marchesi, Andrea Peri, Francesco Puccetti, Marco Realis Luc, Rossella Reddavid, Riccardo Rosati, Leonardo Solaini, Fabio Staderini, Marina Valente, Jacopo Viganò, Ugo Elmore, Simone Giacopuzzi
Institutions: Federico II University Hospital, University of Naples Federico II, University of Brescia, Azienda Ospedaliero-Universitaria Careggi, University of Verona, European Institute of Oncology, Ospedale San Luigi Gonzaga, University of Turin, Azienda Unità Sanitaria Locale Della Romagna, Ospedale G.B. Morgagni - L.Pierantoni, University of Bologna, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, University of Parma, Policlinico San Matteo Fondazione, IRCCS Ospedale San Raffaele, IRCCS San Raffaele Roma
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,790
OpenAlex ID: W4410049600