Short-term outcomes for laparoscopy-assisted distal gastrectomy for body mass index ≥30 patients with gastric cancer

Autor: Jun-jie Hu, Xing-mao Zhang, Zhixiang Zhou, Jianwei Liang, Weigen Zeng, Zheng Wang
Rok vydání: 2015
Předmět:
Zdroj: Journal of Surgical Research. 195:83-88
ISSN: 0022-4804
DOI: 10.1016/j.jss.2014.12.044
Popis: Background Obesity is known to be a preoperative risk factor for gastric cancer surgery. This study aimed to investigate the influence of obesity on the surgical outcomes of laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer. Methods The clinical data of 131 patients with gastric cancer from January 2010–December 2013 were analyzed retrospectively. Perioperative outcomes were compared between 43 patients with a body mass index (BMI) ≥30 kg/m2 (obese group) and 88 patients with a BMI Results Operation times were significantly longer for the obese group than for the nonobese group (234.1 ± 57.2 min versus 212.2 ± 43.5 min, P = 0.026). There were no statistically significant differences between two groups in terms of intraoperative blood loss, the number of retrieved lymph nodes, postoperative recovery, and postoperative complications (P > 0.05). During the follow-up period of 5 mo–49 mo (average, 36 mo), the overall survival rates were not significantly different between the two groups (80.0% [32/40] versus 81.9% [68/83], P > 0.05). The differences in recurrence and metastasis between the two groups were not statistically significant. Conclusions Our analysis revealed that LADG can be safely performed in patients with BMI ≥30. The procedure was considered to be difficult but sufficiently feasible.
Databáze: OpenAIRE
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