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

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dc.contributor.authorLee, Hyuk-Joon-
dc.contributor.authorKim, Hyung-Ho-
dc.contributor.authorKim, Min-Chan-
dc.contributor.authorRyu, Seong-Yeob-
dc.contributor.authorSong, Kyo-Young-
dc.contributor.authorHan, Sang-Uk-
dc.contributor.authorRyu, Seung-Wan-
dc.contributor.authorHyung, Woo Jin-
dc.contributor.authorCho, Gyu-Seok-
dc.contributor.authorKim, Wook-
dc.date.accessioned2012-06-29T04:47:46Z-
dc.date.available2012-06-29T04:47:46Z-
dc.date.issued2009-11-
dc.identifier.citationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES; Vol.23 11; 2473-2479ko_KR
dc.identifier.issn0930-2794-
dc.identifier.urihttp://hdl.handle.net/10371/77919-
dc.description.abstractBackground 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.ko_KR
dc.language.isoenko_KR
dc.publisherSPRINGERko_KR
dc.subjectBody mass indexko_KR
dc.subjectObesityko_KR
dc.subjectLaparoscopyko_KR
dc.subjectGastrectomyko_KR
dc.subjectGastric cancerko_KR
dc.titleThe impact of a high body mass index on laparoscopy assisted gastrectomy for gastric cancerko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor이혁준-
dc.contributor.AlternativeAuthor김형호-
dc.contributor.AlternativeAuthor김민찬-
dc.contributor.AlternativeAuthor류성엽-
dc.contributor.AlternativeAuthor김욱-
dc.contributor.AlternativeAuthor송교영-
dc.contributor.AlternativeAuthor조규석-
dc.contributor.AlternativeAuthor한상욱-
dc.contributor.AlternativeAuthor형우진-
dc.contributor.AlternativeAuthor류승완-
dc.identifier.doi10.1007/s00464-009-0419-1-
dc.citation.journaltitleSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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