Influence of Obesity on Early Surgical Outcomes of Laparoscopic-Assisted Gastrectomy in Gastric Cancer
- Authors
- Kim, Min Gyu; Yook, Jeong Hwan; Kim, Kap Choong; Kim, Tae Hwan; Kim, Hee Sung; Kim, Beom Su; Kim, Byung Sik
- Issue Date
- Jun-2011
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- early gastric cancer; laparoscopy-assisted distal gastrectomy; obesity
- Citation
- SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, v.21, no.3, pp.151 - 154
- Indexed
- SCIE
SCOPUS
- Journal Title
- SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
- Volume
- 21
- Number
- 3
- Start Page
- 151
- End Page
- 154
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/168367
- DOI
- 10.1097/SLE.0b013e318219a57d
- ISSN
- 1530-4515
- Abstract
- Background: The aim of this study is to estimate the impact of obesity on surgical outcomes of laparoscopic-assisted gastrectomy for gastric cancer. Study Design: Between January 2005 and January 2010, 1100 consecutive patients who underwent laparoscopic-assisted distal gastrectomy for gastric cancer were reviewed to evaluate the impact of obesity. The patients were classified into 3 groups according to the World Health Organization classification, as normal weight [body mass index (BMI) 18.5 to 24.9 kg/m(2)], overweight (BMI 25 to 29.9 kg/m(2)), and obese patients (BMI >= 30 kg/m(2)). Results: The postoperative complication rates for normal weight, overweight, and obese patients were 5.7%, 10.0%, 15.4%, respectively. Overweight and obese patients had a significantly prolonged operation time, increased intraoperative blood loss, prolonged first flatus, day of commencement of soft diet, increased number of administration of analgesics, and prolonged hospital stay. Conclusions: Overweight and obesity were associated with poor early surgical outcomes of laparoscopic-assisted gastrectomy. This study suggested that greater cautions and improved surgical techniques were required to improve early surgical outcomes of laparoscopic-assisted gastrectomy for overweight and obese patients.
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