Body mass index as a predictor of complications and conversion in patients undergoing laparoscopic colectomy

OBJECTIVE: Evaluate the predictive value of body mass index (BMI) for hospital length-of-stay, surgical conversion, and postoperative complications in laparoscopic colorectal surgeries. METHODS: Retrospective analysis of 152 patients undergoing laparoscopic colorectal surgery. Patients were divided into two groups: group I (BMI<30) and group II (BMI&gt;30). The average hospital length-of-stay and the complication and conversion rates of the groups were compared. RESULTS: Group II had a longer average hospital length-of-stay (9.852 versus 7.112 days) and higher conversion rate (33.3 versus 14.4%). BMI&gt;30 is a risk factor for conversion, with odds ratio (OR) of 2.972 (95% confidence interval - CI 1.157-7.633). No significant difference was observed between the groups regarding complications. CONCLUSIONS: Obesity (BMI&gt;30) significantly increases the conversion rate of laparoscopic colorectal surgery and increases the average hospital length-of-stay of patients.

Bibliographic Details

Main Authors:	Costa,Breno Xaia Martins da, Queiroz,Fábio Lopes de, Lamounier,Paulo César de Carvalho, Lacerda Filho,Antônio, Paiva,Rodrigo de Almeida, França,Paulo Rocha, Rego,Rodrigo Soares Napoleão do, Rabelo,Fernanda Elias Ferreira
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Coloproctologia 2011
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632011000400003
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