Laparoscopic versus Open Obesity Surgery: A Meta-Analysis of Pulmonary Complications

Antoniou, Stavros A.; Antoniou, George Α.; Koch, Oliver; Köhler, Gernot; Pointner, Rudolph; Granderath, Frank-Alexander

doi:10.1159/000371749

Cited by 33 publications

(22 citation statements)

References 48 publications

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“…They reported that patients undergoing esophagectomy or gastrectomy had the highest rate of postoperative pneumonia. A retrospective study of 185,328 obese patients undergoing surgery by Antoniou et al [31] reported the occurrence of postoperative pneumonia was lower for laparoscopic surgery compared to open surgery (0.5% vs. 1.1%). Furthermore, laparoscopic surgery also had a lower mortality rate (0.1% vs. 0.4%).…”

Section: Resultsmentioning

confidence: 99%

The Epidemiology and Risk Factors for Postoperative Pneumonia

et al. 2017

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Postoperative pneumonia is a common complication of surgery, and is associated with marked morbidity and mortality. Despite advances in surgical and anesthetic technique, it persists as a frequent postoperative complication. Many studies have aimed to assess its burden, as well as associated risk factors. However, this complication varies among the different surgical specialties, and there is a paucity of reports that comprehensively evaluate this complication. Therefore, the purpose of this study was to review the epidemiology and risk factors of postoperative pneumonia in the setting of: 1) general surgery; 2) cardiothoracic surgery; 3) orthopedic and spine surgery; and 4) head and neck surgery.

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Section: Resultsmentioning

confidence: 99%

The Epidemiology and Risk Factors for Postoperative Pneumonia

et al. 2017

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“…In another study, Boni et al reported that the immune system was better preserved and there was less proinflammatory cytokine response in all laparoscopic surgical procedures; consequently, the infection rate, including the pulmonary system infections, was lower in laparoscopic surgery than in open surgery [ 15 ]. Antoniou et al reported that, in obesity surgery, the obesity itself was a pulmonary risk factor for complications in the postoperative period, together with parameters such as incisional pain, diaphragmatic irritation, and hypoventilation; they reported less pulmonary complications in their patients who had undergone laparoscopic surgery [ 16 ]. In our study, we compared the chest radiographs obtained in the postoperative period and found that 34 patients developed atelectasis, 26 (76.5%) of whom belonged to the open surgery group and 8 (23.5%) to the laparoscopy group.…”

Section: Discussionmentioning

confidence: 99%

Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery

Çelik

Yılmaz

2018

Med Sci Monit

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BackgroundWe aimed to compare the lung functions, complication rates, and durations of the hospital and intensive care unit stays of patients who had undergone laparoscopic colorectal resection and open colorectal resection.Material/MethodsIn this study, data were collected prospectively and then evaluated retrospectively. The study was carried out between January 2015 and November 2016 in 2 university hospitals. Pulmonary function tests (PFT) and chest radiography were performed in all patients preoperatively. In the postoperative period, PFT was performed in all patients but chest radiography was obtained only in patients for whom it was clinically indicated.ResultsThere were no significant differences between the 2 groups regarding their preoperative PFT parameters (p>0.05 for all variables). When compared to their preoperative PFT results, FEV1 and FVC values were determined to be significantly reduced on the 5th postoperative day (p≤0.05) in both groups. When the postoperative 5th day PFT results of the Laparoscopy (LG) and Open group (OG) were compared, there were no significant differences (for all variables p>0.05). Consolidation developed in 11 patients, all of whom were in the OG, but this result was not associated with surgical procedure (p=0.080). The median duration of the postoperative intensive care stay was 1 day in the LG, whereas it was 2 days in the OG (p<0.001).ConclusionsIn terms of pulmonary functions, both laparoscopic surgery and open surgery procedure have the same results. However, in terms of hospital stay and pulmonary infections, laparoscopy is more reliable.

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“…In another study, Boni et al reported that the immune system was better preserved and there was less proinflammatory cytokine response in all laparoscopic surgical procedures; consequently, the infection rate, including the pulmonary system infections, was lower in laparoscopic surgery than in open 10 surgery . Antoniou et al reported that, in obesity surgery, the obesity itself was a pulmonary risk factor for complications in the postoperative period, together with parameters such as incisional pain, diaphragmatic irritation, and hypoventilation; they reported less pulmonary complications in their patients who had undergone 7,11 laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

A Comparative Study of Pulmonary Function Test in Laparotomy And Laparoscopic Surgeries

Ajankar

2020

ijsr

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Background and Aims- Respiratory complications account to majority of post-operative outcomes after abdominal surgeries. Data on exact prevalence and probability after different surgeries is scanty. Aim of our study is to evaluate pre and post operative differences objectively by using spirometry in patients undergoing upper abdominal laparoscopic and laparotomy surgeries. Methods- Seventy-one patients consecutively undergoing surgeries were enrolled, of which 36 underwent laparoscopic and rest open laparotomy. Patients were subjected to spirometry pre and post operatively, and FVC, FEV1, FEV1/FVC, VC were calculated. This cross sectional data was analysed using paired “t” test, Students “t” test and Chi square. Results- Preoperative FEV1,ERV, TLC, PEFR were significantly better in laparotomy than laparoscopic group (p value <0.05). Age, sex and BMI were not significant determinants. Post operatively the laparoscopic group had better outcomes than laparotomy group. The exact mechanisms were not known but minimal scar length, lesser damage to diaphragm and muscles, younger age of patients in laparoscopic group and early postoperative rehabilitation could be possible explanations Conclusions- Present study demonstrates that laparoscopic surgeries has less adverse effects on postoperative pulmonary function than laparotomy surgeries. This may correlate with lower post op respiratory complications in laparoscopy group

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Laparoscopic versus Open Obesity Surgery: A Meta-Analysis of Pulmonary Complications

Cited by 33 publications

References 48 publications

The Epidemiology and Risk Factors for Postoperative Pneumonia

The Epidemiology and Risk Factors for Postoperative Pneumonia

Effects of Laparoscopic and Conventional Methods on Lung Functions in Colorectal Surgery

A Comparative Study of Pulmonary Function Test in Laparotomy And Laparoscopic Surgeries

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