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KMID : 0914820120120020108
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Journal of the Korean Gastric Cancer Association
2012 Volume.12 No. 2 p.108 ~ p.112
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The Impact of Obesity on the Use of a Totally Laparoscopic Distal Gastrectomy in Patients with Gastric Cancer
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Oki Eiji
Sakaguchi Yoshihisa
Ohgaki Kippei
Saeki Hiroshi
Chinen Yoshiki
Minami Kazuhito
Sakamoto Yasuo
Toh Yasushi
Kusumoto Testuya
Okamura Takeshi
Maehara Yoshihiko
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Abstract
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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 ≥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.
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KEYWORD
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Laparoscopy, Gastrectomy, Stomach neoplasms, Obesity, Body mass index
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