Is There any Role of Visceral Fat Area for Predicting Difficulty of Laparoscopic Gastrectomy for Gastric Cancer?.
10.5230/jgc.2015.15.3.151
- Author:
Ho Jung SHIN
1
;
Sang Yong SON
;
Long Hai CUI
;
Cheulsu BYUN
;
Hoon HUR
;
Jei Hee LEE
;
Young Chul KIM
;
Sang Uk HAN
;
Yong Kwan CHO
Author Information
1. Department of Surgery, Ajou University School of Medicine, Suwon, Korea. sonsy@aumc.ac.kr
- Publication Type:Original Article
- Keywords:
Stomach neoplasms;
Laparoscopic;
Gastrectomy;
Obesity;
Intra-abdominal fat
- MeSH:
Body Mass Index;
Gastrectomy*;
Humans;
Intra-Abdominal Fat*;
Learning;
Learning Curve;
Length of Stay;
Obesity;
Operative Time;
Postoperative Complications;
Stomach Neoplasms*;
Surgeons
- From:Journal of Gastric Cancer
2015;15(3):151-158
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Obesity is associated with morbidity following gastric cancer surgery, but whether obesity influences morbidity after laparoscopic gastrectomy (LG) remains controversial. The present study evaluated whether body mass index (BMI) and visceral fat area (VFA) predict postoperative complications. MATERIALS AND METHODS: A total of 217 consecutive patients who had undergone LG for gastric cancer between May 2003 and December 2005 were included in the present study. We divided the patients into two groups ('before learning curve' and 'after learning curve') based on the learning curve effect of the surgeon. Each of these groups was sub-classified according to BMI (<25 kg/m2 and > or =25 kg/m2) and VFA (<100 cm2 and > or =100 cm2). Surgical outcomes, including operative time, quantity of blood loss, and postoperative complications, were compared between BMI and VFA subgroups. RESULTS: The mean operative time, length of hospital stay, and complication rate were significantly higher in the before learning curve group than in the after learning curve group. In the subgroup analysis, complication rate and length of hospital stay did not differ according to BMI or VFA; however, for the before learning curve group, mean operative time and blood loss were significantly higher in the high VFA subgroup than in the low VFA subgroup (P=0.047 and P=0.028, respectively). CONCLUSIONS: VFA may be a better predictive marker than BMI for selecting candidates for LG, which may help to get a better surgical outcome for inexperienced surgeons.
