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

Cited 69 time in Web of Science Cited 70 time in Scopus
Authors
Lee, Hyuk-Joon; Kim, Hyung-Ho; Kim, Min-Chan; Ryu, Seong-Yeob; Song, Kyo-Young; Han, Sang-Uk; Ryu, Seung-Wan; Hyung, Woo Jin; Cho, Gyu-Seok; Kim, Wook
Issue Date
2009-11
Publisher
SPRINGER
Citation
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES; Vol.23 11; 2473-2479
Keywords
Body mass indexObesityLaparoscopyGastrectomyGastric cancer
Abstract
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 >= 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.
ISSN
0930-2794
Language
English
URI
http://hdl.handle.net/10371/77919
DOI
https://doi.org/10.1007/s00464-009-0419-1
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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