PMID- 23793806
OWN - NLM
STAT- MEDLINE
DCOM- 20140808
LR  - 20220330
IS  - 1432-2218 (Electronic)
IS  - 0930-2794 (Linking)
VI  - 27
IP  - 11
DP  - 2013 Nov
TI  - Short-term outcome of total laparoscopic distal gastrectomy for overweight and 
      obese patients with gastric cancer.
PG  - 4291-6
LID - 10.1007/s00464-013-3045-x [doi]
AB  - BACKGROUND: Laparoscopic distal gastrectomy for gastric cancer has been firmly 
      established in recent decades but still is a difficult procedure, especially for 
      obese patients, as with open surgery. This study aimed to evaluate the 
      perioperative outcome of total laparoscopic distal gastrectomy (TLDG) for early 
      gastric cancer patients with a body mass index (BMI) exceeding 25 kg/m(2) and to 
      consider countermeasures to this. METHODS: Perioperative outcomes were compared 
      between 42 patients with a BMI exceeding 25 kg/m(2) [overweight or obese group 
      (OWG)] and 174 patients with a BMI lower than 25 kg/m(2) [normal or underweight 
      group (NWG)] who underwent TLDG between September 2010 and December 2012. 
      RESULTS: The BMI was 26.0 +/- 1.4 kg/m(2) in the OWG group and 22.0 +/- 2.1 kg/m(2) 
      in the NWG group (P < 0.001). The groups did not differ in terms of age, sex, 
      American Society of Anesthesiologists score, presence of diabetes, number of 
      retrieved lymph nodes, number of metastatic lymph nodes, or metastatic lymph node 
      ratio. The two groups did not differ significantly with respect to the extent of 
      lymph node dissection [OWG: D1 (11.9 %), D1+ (66.7 %), D2 (21.4 %) vs NWG: D1 
      (5.2 %), D1+ (51.7 %), D2 (43.1 %); P = 0.020] or tumor size (OWG: 25.5 +/- 20.2 mm 
      vs NWG: 33.0 +/- 17.2 mm; P = 0.037). Differences in operation time (OWG: 212 +/- 31 
      min vs NWG: 200 +/- 35 min; P = 0.005) and estimated blood loss (OWG: 15 +/- 22 ml vs 
      NWG: 10 +/- 34 ml; P = 0.013) seemed to have a minimal impact clinically. 
      Postoperative complications including infectious complications and recovery after 
      surgery did not differ between the two groups. CONCLUSIONS: For overweight and 
      obese patients, TLDG was managed safely. The procedure was considered to be 
      difficult but sufficiently feasible.
FAU - Sugimoto, Motokazu
AU  - Sugimoto M
AD  - Department of Digestive Surgical Oncology, National Cancer Center Hospital East, 
      6-5-1 Kashiwa-no-ha, Kashiwa, Chiba, 277-8577, Japan, msugimot@east.ncc.go.jp.
FAU - Kinoshita, Takahiro
AU  - Kinoshita T
FAU - Shibasaki, Hidehito
AU  - Shibasaki H
FAU - Kato, Yuichiro
AU  - Kato Y
FAU - Gotohda, Naoto
AU  - Gotohda N
FAU - Takahashi, Shinichiro
AU  - Takahashi S
FAU - Konishi, Masaru
AU  - Konishi M
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
DEP - 20130621
PL  - Germany
TA  - Surg Endosc
JT  - Surgical endoscopy
JID - 8806653
SB  - IM
MH  - Adenocarcinoma/*epidemiology/secondary/*surgery
MH  - Aged
MH  - Body Mass Index
MH  - Comorbidity
MH  - Female
MH  - Gastrectomy/adverse effects/*statistics & numerical data
MH  - Humans
MH  - Laparoscopy/adverse effects/*statistics & numerical data
MH  - Lymph Node Excision/statistics & numerical data
MH  - Lymph Nodes/pathology/surgery
MH  - Lymphatic Metastasis
MH  - Male
MH  - Obesity/*epidemiology/surgery
MH  - Overweight/epidemiology
MH  - Postoperative Complications/epidemiology/etiology
MH  - Stomach Neoplasms/*epidemiology/pathology/*surgery
MH  - Treatment Outcome
EDAT- 2013/06/25 06:00
MHDA- 2014/08/13 06:00
CRDT- 2013/06/25 06:00
PHST- 2013/02/07 00:00 [received]
PHST- 2013/05/28 00:00 [accepted]
PHST- 2013/06/25 06:00 [entrez]
PHST- 2013/06/25 06:00 [pubmed]
PHST- 2014/08/13 06:00 [medline]
AID - 10.1007/s00464-013-3045-x [doi]
PST - ppublish
SO  - Surg Endosc. 2013 Nov;27(11):4291-6. doi: 10.1007/s00464-013-3045-x. Epub 2013 
      Jun 21.