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Journal of Gastrointestinal Surgery

Published in:

01-06-2008

Effect of Obesity on Technical Feasibility and Postoperative Outcomes of Laparoscopy-Assisted Distal Gastrectomy—Comparison with Open Distal Gastrectomy

Authors: Hiroyuki Yamada, Kazuyuki Kojima, Mikito Inokuchi, Tatsuyuki Kawano, Kenichi Sugihara

Published in: Journal of Gastrointestinal Surgery | Issue 6/2008

Abstract

Objective

The aim of this study was to compare outcomes between laparoscopy-assisted distal gastrectomy (LADG) and open distal gastrectomy (ODG) in obese and non-obese patients.

Methods

Subjects comprised 248 consecutive patients who underwent distal gastrectomy for gastric cancer between January 1999 and December 2005. Patients with body mass index (BMI) ≥ 25 kg/m² were defined as obese, and patients with BMI < 25 kg/m² were defined as non-obese. Parameters analyzed included patients characteristics, tumor characteristics, operative details, postoperative outcomes, and prognosis.

Results

For LADG, 35 patients were considered obese, and 106 patients were non-obese. For ODG, 25 patients were considered obese, and 82 patients were non-obese. Mean operative times in each procedure were significantly longer for the obese group than for the non-obese group (ODG: 241.4 min vs. 199.5 min, p < 0.0001; LADG: 279.6 min vs. 255.3 min, p = 0.03). Blood loss was significantly higher for the obese group than for the non-obese group in ODG (300 ml vs. 400 ml, p = 0.024), but no significant differences were observed between obese and non-obese groups for LADG. Incidence of major postoperative complications, number of retrieved lymph nodes, and disease-free survival rates were similar in obese and non-obese groups for each procedure.

Conclusions

Our analysis revealed that LADG can be safely performed in obese patients, with complication rates and operation outcomes similar to those for non-obese patients.

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Title: Effect of Obesity on Technical Feasibility and Postoperative Outcomes of Laparoscopy-Assisted Distal Gastrectomy—Comparison with Open Distal Gastrectomy
Authors: Hiroyuki Yamada
Kazuyuki Kojima
Mikito Inokuchi
Tatsuyuki Kawano
Kenichi Sugihara
Publication date: 01-06-2008
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 6/2008
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-007-0374-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Effect of Obesity on Technical Feasibility and Postoperative Outcomes of Laparoscopy-Assisted Distal Gastrectomy—Comparison with Open Distal Gastrectomy

Abstract

Objective

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusions

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