The Impact of Obesity on the Use of a Totally Laparoscopic Distal Gastrectomy in Patients with Gastric Cancer.
10.5230/jgc.2012.12.2.108
- Author:
Eiji OKI
1
;
Yoshihisa SAKAGUCHI
;
Kippei OHGAKI
;
Hiroshi SAEKI
;
Yoshiki CHINEN
;
Kazuhito MINAMI
;
Yasuo SAKAMOTO
;
Yasushi TOH
;
Testuya KUSUMOTO
;
Takeshi OKAMURA
;
Yoshihiko MAEHARA
Author Information
1. Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. okieiji@surg2.med.kyushu-u.ac.jp
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Gastrectomy;
Stomach neoplasms;
Obesity;
Body mass index
- MeSH:
Body Mass Index;
Gastrectomy;
Humans;
Hypertension;
Laparoscopy;
Length of Stay;
Lymph Nodes;
Obesity;
Retrospective Studies;
Stomach Neoplasms;
Stress, Psychological
- From:Journal of Gastric Cancer
2012;12(2):108-112
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Since a patient's obesity can affect the mortality and morbidity of the surgery, less drastic surgeries may have a major benefit for obese individuals. This study evaluated the feasibility of performing a totally laparoscopic distal gastrectomy, with intracorporeal anastomosis, in obese patients suffering from gastric cancer. MATERIALS AND METHODS: This was a retrospective analysis of the 138 patients, who underwent a totally laparoscopic distal gastrectomy from April 2005 to March 2009, at the National Kyushu Cancer Center. The body mass index of 20 patients was > or =25, and in 118 patients, it was <25 kg/m2. RESULTS: The mean values of body mass index in the 2 groups were 27.3+/-2.2 and 21.4+/-2.3. Hypertension was significantly more frequent in the obese patients than in the non-obese patients. The intraoperative blood loss, duration of surgery, post-operative complication rate, post-operative hospital stay, and a number of retrieved lymph nodes were not significantly different between the two groups. CONCLUSIONS: Intracorporeal anastomosis seemed to have a benefit for obese individuals. Totally laparoscopic gastrectomy is, therefore, considered to be a safe and an effective modality for obese patients.
