TITLE

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

AUTHOR(S)
antoniou, Stavros athanasios; antoniou, George athanasios; Koch, Oliver Owen; Köhler, Gernot; Pointner, Rudolph; Granderath, Frank-alexander
PUB. DATE
April 2015
SOURCE
Digestive Surgery;Apr2015, Vol. 32 Issue 2, p98
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The clinical effects of laparoscopy in the pulmonary function of obese patients have been poorly investigated in the past. A systematic review was undertaken, with the objective to identify published evidence on pulmonary complications in laparoscopic surgery in the obese. Outcome measures included pulmonary morbidity, pulmonary infection and mortality. The random effects model was used to calculate combined overall effect sizes of pooled data. Data are presented as the odds ratio (OR) with 95% confidence interval (CI). A total of 6 randomized and 14 observational studies were included, which reported data on 185,328 patients. Pulmonary complications occurred in 1.6% of laparoscopic and in 3.6% of open procedures (OR 0.45, 95% CI 0.34-0.60). Pneumonia was reported in 0.5% and in 1.1%, respectively (OR 0.45, 95% CI 0.40-0.51). Available evidence suggests lower pulmonary morbidity for laparoscopic surgery in obese patients; further quality studies are however necessary to consolidate these findings. © 2015 S. Karger AG, Basel
ACCESSION #
102125994

 

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