Chinese Journal of Modern Operative Surgery  2016, Vol. 20 Issue (5): 321-326 DOI: 10.16260/j.cnki.1009-2188.2016.05.001 |
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| The Effect of Visceral Obesity on Outcomes of Colorectal Carcinoma Surgery Determined by CT: A Metaanalysis |
| LI Junrui, SUN Jingfeng, ZHANG Yewei
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| 1.Department of Radiology, Nanbao Development Area Hospital of Tangshan, Tangshan 063305, Hebei, China; 2. Department of Hepatobiliary Pancreatic Surgery, Affiliated Cancer Hospital of Nanjing Medical University, Nanjing 210009, Jiangsu, China |
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Abstract ObjectiveTo analyze the effect of visceral obesity on the outcomes of colorectal carcinoma surgery determined by CT and to provide the Cochrane evidence of preoperative visceral obesity evaluation by CT scan.MethodsThe correlated literatures of control study with Jadad scored 4 above were retrieved in MEDLINE, PUBMED, EMBASE and WOS database from 2005 to 2015. The test team was obesity patients underwent colorectal cancer surgery, and the control team was not obesity patients underwent colorectal cancer surgery. RR or SMD were evaluated by metaanalysis.ResultsThe effect of abdominal fatty by CT scan on colorectal surgery were as follows: ① comparison of operative time, SMD=0.27, 95%CI (0.15, 0.39), z=4.46, P=0.000, and there was obviously statistic difference; ②comparison of blood loss, SMD=0.06, 95%CI (-0.07, 0.19) , z=0.95, P=0.341, and the difference is not statistical significance; ③ comparison of hospitalization time, SMD=0.20, 95%CI (0.08, 0.32), z=3.37, P=0.001, and there was remarkable statistic difference; ④comparison of postoperative complication morbility, RR=1.82, 95%CI (1.36, 2.44), z=4.01, P=0.000, and there was significant statistic difference.ConclusionThe operative duration and hospitalization time is prolonging and the complications morbility is increasing in the visceral obesity patients evaluated by preoperative CT scan, so more attention of preoperative abdominal obesity would be attached.
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Received: 23 March 2016
Published: 22 May 2018
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