The impact of obesity on LADG for early gastric cancer

Kim, Ki Han; Kim, Min Chan; Jung, Ghap Joong; Kim, Hyung‐Ho

doi:10.1007/s10120-006-0395-2

Cited by 52 publications

(49 citation statements)

References 25 publications

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“…This feature has already been stressed in several articles evaluating patients who had undergone open or laparoscopic gastrectomy [7,10]. This phenomenon may be related to the different fat patterns in men and women.…”

Section: Discussionmentioning

confidence: 84%

“…Longer operation times for obese patients are predictable and have been reported repeatedly [8][9][10]. However, fewer numbers of retrieved LNs in obese patients is an unexpected finding that has rarely been reported.…”

Section: Discussionmentioning

confidence: 91%

“…Many largescale studies have repeatedly demonstrated that obesity influences surgical outcomes after gastric cancer surgery [7,[19][20][21]. Conversely, studies focusing on LAG have shown that obesity does not increase surgical morbidity [8][9][10]. However, the limited numbers of patients in these studies (usually fewer than 100) make these results very inconclusive.…”

Section: Discussionmentioning

confidence: 99%

“…To date, studies evaluating the impact of body mass index (BMI) on LAG for gastric cancer have been limited, and the numbers of patients in most studies have been insufficient for any conclusion to be drawn [8][9][10]. Therefore, we conducted this study to evaluate the impact of high BMI on the surgical outcomes of LAG for patients with gastric cancer.…”

mentioning

confidence: 99%

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The impact of a high body mass index on laparoscopy assisted gastrectomy for gastric cancer

Lee

Kim

et al. 2009

Surg Endosc

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Background Obesity is known to be associated with postoperative morbidity in gastric cancer surgery, but its impact on laparoscopy assisted gastrectomy (LAG) for gastric cancer has rarely been evaluated. Methods The clinical data for 1,485 LAG procedures for gastric cancer in 10 institutions were reviewed. The patients were divided into high body mass index (BMI) (BMI C 25 kg/m 2 ; n = 432) and low BMI (BMI \25 kg/ m 2 ; n = 1,053) groups, and their clinical outcomes were compared. Results The mean age and proportion of comorbid patients were higher in the high BMI group than in the low BMI group. Postoperative morbidity and mortality did not differ between the high BMI (15.7% and 0.9%) and low BMI (14% and 0.5%) groups (p = 0.37 and p = 0.29). Only the operation time and the number of retrieved lymph nodes were significantly different between the high BMI (242.5 min and 30.4) and low BMI (223.7 min and 32.6) groups (p \ 0.001 and p = 0.005), especially for male patients undergoing surgery by surgeons who have performed 40 or fewer LAGs. Conclusions High BMI itself may not increase operative morbidity after LAG for gastric cancer. However, when a surgeon is relatively inexperienced with LAG, a careful approach is required for male patients with a high BMI.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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The impact of a high body mass index on laparoscopy assisted gastrectomy for gastric cancer

Lee

Kim

et al. 2009

Surg Endosc

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“…First, previous papers have concluded that the difficulty in performing LADG depends on the BMI, so we selected a BMI of less than 25 kg/m 2 as a patient selection. Noshiro et al 19 and Kim et al 20 reported that a laparoscopic-assisted distal gastrectomy for early gastric cancer in patients with an elevated BMI (!24.2 kg/m 2 or !23 kg/m 2 ) required a significantly longer operative time, compared with those with a lower BMI. Second, since our gastrectomy with ML technique was based on our experience performing curative colectomies via ML, it was necessary for us to unify the surgical difficulty of the colectomy and the gastrectomy.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Three Different Minimally Invasive Procedures of Distal Gastrectomy for Nonoverweight Patients with T1N0-1 Gastric Cancer

Haga

Ishiguro

Kuwabara

et al. 2013

International Surgery

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Laparoscopic-assisted distal gastrectomy has recently come to be a standard procedure for the treatment of early gastric cancer 1-5 in select patients. The minimal invasiveness associated with laparoscopic procedures for the resection of gastrointestinal cancer has been repeatedly explained in part by the short incision that is required. 6-11 We used two different approaches to perform distal gastrectomies for the resection of gastric cancer as minimally invasive alternatives to a standard laparoscopic approach prior to our surgical team's complete mastery of the skills required for laparoscopic oncological surgery for gastric cancer. 9,12 If the minimal invasiveness associated with laparoscopic-assisted gastrectomy can be explained by the small incision, a gastrectomy via a small incision without the use of a pneumoperitoneum may provide a similar outcome in patients. However, to our knowledge, such a comparison has not been previously made. We compared the minimal invasiveness of three different approaches (minilaparotomy, minilaparotomy approach with laparoscopic assistance, and standard laparoscopicassisted approach) to performing a distal gastrectomy for T1N0-1 gastric cancer in nonoverweight patients (body mass index, 25 kg/m 2 ) performed within a limited study period.

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Metabolic syndrome predicts postoperative complications after gastrectomy in gastric cancer patients: Development of an individualized usable nomogram and rating model

et al. 2020

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The impact of obesity on LADG for early gastric cancer

Cited by 52 publications

References 25 publications

The impact of a high body mass index on laparoscopy assisted gastrectomy for gastric cancer

The impact of a high body mass index on laparoscopy assisted gastrectomy for gastric cancer

Comparison of Three Different Minimally Invasive Procedures of Distal Gastrectomy for Nonoverweight Patients with T1N0-1 Gastric Cancer

Metabolic syndrome predicts postoperative complications after gastrectomy in gastric cancer patients: Development of an individualized usable nomogram and rating model

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