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作者

Dechao Li, Shulin Wang, Huating Zhang, Yukun Cao, Qingsen Chu

作者单位

Affiliations ¹ Department of Anesthesia, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China. ² Department of Rehabilitation Medicine, The 960th Hospital of the PLA Joint Logistics Support Force, Jinan, Shandong, 250031, China. ³ Department of Liver Transplantation and Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China. rainystar2002@16 com. ⁴ Department of Anesthesia, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, 250021, China. sanmuhaixia@16 com.

刊名

BMC surgery

年份

2024

卷号

Vol.24 No.1

页码

372

ISSN

1471-2482

关键词

Body mass index Complications Laparoscopic pancreaticoduodenectomy Overweight Propensity score matching.

摘要

Background: The feasibility and safety of laparoscopic pancreaticoduodenectomy in overweight patients is still controversial. This study was designed to analyze the impact of overweight on surgical outcomes in patients undergoing LPD. Methods: Data from patients who underwent LPD between January 2018 and July 2022 were analyzed retrospectively. A 1:1 propensity score-matching analysis was performed to minimize bias between groups. Results: A total of 432 patients were enrolled, with a normal w...更多

Background: The feasibility and safety of laparoscopic pancreaticoduodenectomy in overweight patients is still controversial. This study was designed to analyze the impact of overweight on surgical outcomes in patients undergoing LPD. Methods: Data from patients who underwent LPD between January 2018 and July 2022 were analyzed retrospectively. A 1:1 propensity score-matching analysis was performed to minimize bias between groups. Results: A total of 432 patients were enrolled, with a normal weight group and an overweight group . After matching, 144 patients were enrolled in each group. The results showed that the incidence of clinically relevant postoperative pancreatic fistula and delayed gastric emptying was significantly higher in the overweight group compared to the normal weight group . However, there were no significant differences in perioperative mortality and long-term survival outcomes between malignancy patients with different body mass index before and after PSM . Conclusions: It is safe and feasible for overweight patients to undergo LPD with mortality and long-term survival outcomes comparable to the normal weight group. High-quality prospective randomized controlled trials are still needed.收起

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