Clinical Study

Impact of Body Mass Index on Surgical and Oncological Outcomes in Laparoscopic Total Mesorectal Excision for Locally Advanced Rectal Cancer after Neoadjuvant 5-Fluorouracil-Based Chemoradiotherapy

Table 4

Oncological clearance between nonobese and obese groups in locally advanced rectal cancer patients after nCRT.

CharacteristicsBMI < 25 ()BMI ≥ 25 () value

Length of resection margin (cm)
 Proximal14.9 ± 3.514.8 ± 1.90.864
 Distal3.2 ± 1.23.0 ± 1.10.172
CRM involvement3 (1.2)2 (3.2)0.266
Tumor clearance0.382
 R0242 (97.2)59 (93.7)
 R14 (1.6)2 (3.2)
 R23 (1.2)2 (3.2)
No. of lymph node retrieved12.7 ± 8.211.4 ± 4.80.107
Lymph node ratio0.08 (0–0.86)0.04 (0–0.47)0.278
ypUICC stages0.617
 048 (18.3)10 (15.9)
 I59 (23.7)17 (27.0)
 II68 (27.3)21 (33.3)
 III74 (29.7)15 (23.8)
Tumor grade0.196
 G1 + G2214 (85.9)50 (79.4)
 G3 + GX35 (14.1)13 (20.6)
pCR48 (19.3)10 (15.9)0.535
RCRG0.221
 I137 (55.0)28 (44.4)
 II89 (35.7)30 (47.6)
 III23 (9.2)5 (7.9)

Data are expressed as number (%) or as median ± standard deviation, where appropriate.Data are expressed as median (range) and analyzed with the Mann–Whitney U test. nCRT: neoadjuvant chemoradiotherapy; CRM: circumferential resection margin; pCR: pathological complete response; RCRG: rectal cancer regression grade: RCRG 1, sterilization or only microscopic foci of adenocarcinoma remaining, with marked fibrosis; RCRG 2, marked fibrosis but macroscopic disease present; RCRG 3, little or no fibrosis, with abundant macroscopic disease.