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The impact of obesity on laparoscopic appendectomy: Results from the ACS National Surgical Quality Improvement

Maria Michailidou1, Maria G Sacco Casamassima1, Seth D Goldstein1

  • 1Center for Pediatric Surgical Clinical Trials and Outcomes Research, Division of Pediatric, Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Journal of Pediatric Surgery
|August 11, 2015
PubMed

Insights

Childhood obesity does not increase postoperative complications in pediatric laparoscopic appendectomy. Obese children experienced longer operative times but similar complication rates compared to nonobese peers.

Area of Science:

  • Pediatric Surgery
  • Obesity Research
  • Surgical Outcomes

Background:

  • Childhood obesity is a significant public health concern.
  • The impact of elevated body mass index (BMI) on pediatric laparoscopic surgery outcomes is not well understood.
  • Laparoidoscopic appendectomy serves as a model to investigate obesity's effects in pediatric surgery.

Purpose of the Study:

  • To evaluate the association between obesity and perioperative/postoperative complications in children undergoing laparoscopic surgery.
  • To analyze surgical outcomes in obese versus nonobese children using laparoscopic appendectomy as a case study.

Main Methods:

  • Utilized data from the 2012 Pediatric National Surgical Quality Improvement Program (NSQIP).
  • Identified pediatric patients (2-18 years) with acute appendicitis undergoing laparoscopic appendectomy.
  • Defined obesity as BMI ≥95th percentile for age and gender; compared outcomes between obese and nonobese groups using multivariate regression.

Main Results:

  • Included 2812 children; 22% were classified as obese.
  • Obese children had significantly longer operative times.
  • No statistically significant increase in overall or wound complications was observed in obese children after controlling for confounders.

Conclusions:

  • Obesity is not an independent risk factor for postoperative complications after pediatric laparoscopic appendectomy.
  • While operative times are longer, obesity does not elevate the risk of 30-day postoperative complications in this cohort.
Abstract

Keywords:
Laparoscopic appendectomyNSQIPObesityOutcomesPediatric

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