Obesity increases wound complications in rectal cancer surgery

Courtney J. Balentine, Jonathan Wilks, Celia Robinson, Christy Marshall, Daniel Anaya, Daniel Albo, David H. Berger

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Background: Obesity increases the risk of wound infections following surgery for colon cancer. Considerably less data is available, however, regarding the impact of obesity on infections and wound complications after resection for rectal cancer. Additionally, the impact of minimally invasive surgery (MIS) on complications in rectal surgery remains unclear. We hypothesized that obesity is associated with prolonged operative time and more infectious complications in obese patients undergoing both MIS and open surgery for rectal cancer. Materials and Methods: Review of retrospective surgical database. Results: One hundred fifty patients underwent surgery for rectal cancer from 2002 to 2009. Open cases accounted for 72% (n = 108) and MIS for 28% (n = 42) of cases. BMI did not correlate with increased operative time in open rectal surgery, but in MIS patients, operative time increased from a median of 254 min in the lowest quartile of BMI to 333 min in the highest quartile (P < 0.004). Superficial wound infections in open rectal surgery increased from 17% to 52% with increasing BMI (P < 0.005). The increased rate of wound complications persisted in the MIS group. Rate of superficial wound infections and subsequent open packing in the MIS group increased from 0% in the lowest BMI quartile to 33% in the highest quartile (P < 0.029 and P < 0.007, respectively). Conclusions: Elevated BMI is associated with increased wound complications in both minimally invasive and open rectal surgery. This trend may be related to prolonged operative time in obese patients, particularly in MIS. Our observations suggest that more aggressive techniques to prevent infection are warranted in obese patients undergoing rectal surgery.

Original languageEnglish (US)
Pages (from-to)35-39
Number of pages5
JournalJournal of Surgical Research
Volume163
Issue number1
DOIs
StatePublished - Sep 2010
Externally publishedYes

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Rectal Neoplasms
Minimally Invasive Surgical Procedures
Obesity
Wounds and Injuries
Wound Infection
Operative Time
Colonic Neoplasms
Databases
Infection

Keywords

  • obesity
  • rectal cancer
  • wound infections

ASJC Scopus subject areas

  • Surgery

Cite this

Balentine, C. J., Wilks, J., Robinson, C., Marshall, C., Anaya, D., Albo, D., & Berger, D. H. (2010). Obesity increases wound complications in rectal cancer surgery. Journal of Surgical Research, 163(1), 35-39. https://doi.org/10.1016/j.jss.2010.03.012

Obesity increases wound complications in rectal cancer surgery. / Balentine, Courtney J.; Wilks, Jonathan; Robinson, Celia; Marshall, Christy; Anaya, Daniel; Albo, Daniel; Berger, David H.

In: Journal of Surgical Research, Vol. 163, No. 1, 09.2010, p. 35-39.

Research output: Contribution to journalArticle

Balentine, CJ, Wilks, J, Robinson, C, Marshall, C, Anaya, D, Albo, D & Berger, DH 2010, 'Obesity increases wound complications in rectal cancer surgery', Journal of Surgical Research, vol. 163, no. 1, pp. 35-39. https://doi.org/10.1016/j.jss.2010.03.012
Balentine, Courtney J. ; Wilks, Jonathan ; Robinson, Celia ; Marshall, Christy ; Anaya, Daniel ; Albo, Daniel ; Berger, David H. / Obesity increases wound complications in rectal cancer surgery. In: Journal of Surgical Research. 2010 ; Vol. 163, No. 1. pp. 35-39.
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