A totally laparoscopic distal gastrectomy with gastroduodenostomy (TLDG) for improvement of the early surgical outcomes in high BMI patients

Byung Sik Kim, MinGyu Kim, Hironori Kawada, Beom Su Kim, Tae Hwan Kim, Kap Choong Kim, Jeong Hwan Yook

Research output: Contribution to journalArticle

68 Citations (Scopus)

Abstract

Objective: To evaluate the effectiveness of totally laparoscopic distal gastrectomy with gastroduodenostomy (TLDG), we compared its early surgical outcomes with those of laparoscopy-assisted distal gastrectomy with gastroduodenostomy (LADG). Methods: We retrospectively analyzed early surgical outcomes in 567 patients who underwent laparoscopic gastrectomy for gastric cancer between January 2009 and March 2010. The patients were divided into those with underwent TLDG and those with underwent LADG. Their surgical outcomes were analyzed according to the WHO Asia-Pacific Obesity classification. Results: In overall patients, TLDG showed the significant results of early surgical outcomes. But more importantly, in the analysis of early surgical outcomes for obese patients, we found that TLDG could improve overall complication rate (p = 0.031), time to first flatus (p = 0.009), time to commencement of soft diet (p < 0.001), administration of analgesics (p = 0.019), pain score (Numeric Rating Scale, NRS), and hospital discharge (p = 0.003). Conclusions: We suggested that TLDG contributes to the improvement of early surgical outcomes. We further suggest that TLDG in obese patients could be the best way to improve early surgical outcomes, including the bowel movement, pain score, overall complication rate, and hospital discharge.

Original languageEnglish
Pages (from-to)1076-1082
Number of pages7
JournalSurgical Endoscopy
Volume25
Issue number4
DOIs
StatePublished - 2011 Jan 1

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Gastrectomy
Laparoscopy
Flatulence
Pain
Stomach Neoplasms
Analgesics
Obesity
Diet

Keywords

  • Laparoscopy-assisted distal gastrectomy
  • Totally laparoscopic distal gastrectomy

Cite this

Kim, Byung Sik ; Kim, MinGyu ; Kawada, Hironori ; Kim, Beom Su ; Kim, Tae Hwan ; Kim, Kap Choong ; Yook, Jeong Hwan. / A totally laparoscopic distal gastrectomy with gastroduodenostomy (TLDG) for improvement of the early surgical outcomes in high BMI patients. In: Surgical Endoscopy. 2011 ; Vol. 25, No. 4. pp. 1076-1082.
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A totally laparoscopic distal gastrectomy with gastroduodenostomy (TLDG) for improvement of the early surgical outcomes in high BMI patients. / Kim, Byung Sik; Kim, MinGyu; Kawada, Hironori; Kim, Beom Su; Kim, Tae Hwan; Kim, Kap Choong; Yook, Jeong Hwan.

In: Surgical Endoscopy, Vol. 25, No. 4, 01.01.2011, p. 1076-1082.

Research output: Contribution to journalArticle

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AU - Kim, Tae Hwan

AU - Kim, Kap Choong

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