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Obesity Effect On Robotic CABG
Uthman Aluthman1, Salman W. Bafageeh
1, Mohammed Ashour
1, Hani Barnawi
1, Abivarma Chandrakumaran
2, Ahmed Jamjoom
1;
1King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia,
2Jhon Hopkins Hospital, US, MD, USA
BACKGROUND: A greater perioperative risk is often associated with obesity (body mass index > 30 kg/m) in cardiac surgery. Our objective is to assess the effect of obesity on robotic CABG outcome.
METHODS: This is a retrospective study investigating patients who had robotic CABG at our institution between July 2018 and December 2023. We compared the outcomes of obese patients versus nonobese patients who undergone robotic CABG.
RESULTS: A total of 120 patients underwent robotic CABG (mean age, 56 years [range, 43 to 72 years]; 89.75% males). All procedures were done in a MIDCAB approach. Left internal mammary artery grafting was used in all patients. The study was divided into the following: non obese (body mass index < 30, n = 60), and obese patients (body mass index > 30, n = 60). Obese patients had a higher rate of hypertension, dyslipidemia, and diabetes mellitus compared with non-obese patients. There were no significant differences in morbidity, mean length of intensive care unit (1.4 (1-3) +/- 0.6 days) and hospital stay (5.8 (3-12) +/- 1.57 days) among the patients. There was nonsignificant difference in in-hospital mortality and rate of conversion to sternotomy among the two groups.
CONCLUSIONS: For patients at our institution who were obese, the results of robotic CABG were satisfactory. obesity was not linked to higher morbidity or death rates across patients undergoing robotic CABG. These results may prove useful in the treatment of this procedure in such population.
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