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  • Title: Obesity does not adversely affect outcomes after laparoscopic splenectomy.
    Author: Heneghan HM, Annaberdyev S, Attaluri V, Pitt T, Kroh M, Chalikonda S, Brethauer SA, Rosenblatt S.
    Journal: Am J Surg; 2013 Jul; 206(1):52-8. PubMed ID: 23415136.
    Abstract:
    BACKGROUND: Obesity is still considered a relative contraindication to laparoscopic splenectomy (LS). METHODS: All patients undergoing LS at our institution were classified as obese or nonobese (group A, body mass index [BMI] >30; group B, BMI <30). Primary end points included conversion rate, operative complications, length of stay, operative time, and estimated blood loss (EBL). RESULTS: Three hundred seventy patients who underwent LS were included. Baseline characteristics were similar in groups A (n = 127; mean BMI, 36.2 ± 6.9 kg/m²) and B (n = 243; mean BMI, 24.6 ± 2.9 kg/m²). Conversion rates and overall morbidity were similar in both groups (9% vs 11% for conversion to open procedures, P = .621; 16% vs 16% for morbidity rates, P = .940). Length of hospital stay and EBL were also comparable (P = .643 and P = .544, respectively). Mean operative time was significantly increased in the obese group on multivariate analysis (170 vs 151 minutes, P = .021). CONCLUSIONS: Obesity does not adversely affect outcomes after LS. The laparoscopic approach is the optimal technique for splenectomy regardless of the patient's weight.
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