Influence of Obesity on early surgical outcomes of laparoscopic-assisted gastrectomy in gastric cancer

MinGyu Kim, Jeong Hwan Yook, Kap Choong Kim, Tae Hwan Kim, Hee Sung Kim, Beom Su Kim, Byung Sik Kim

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background: The aim of this study is to estimate the impact of obesity on surgical outcomes of laparoscopic-assisted gastrectomy for gastric cancer. Study Design: Between January 2005 and January 2010, 1100 consecutive patients who underwent laparoscopic-assisted distal gastrectomy for gastric cancer were reviewed to evaluate the impact of obesity. The patients were classified into 3 groups according to the World Health Organization classification, as normal weight [body mass index (BMI) 18.5 to 24.9 kg/m 2], overweight (BMI 25 to 29.9 kg/m 2), and obese patients (BMI ≥ 30 kg/m 2). Results: The postoperative complication rates for normal weight, overweight, and obese patients were 5.7%, 10.0%, 15.4%, respectively. Overweight and obese patients had a significantly prolonged operation time, increased intraoperative blood loss, prolonged first flatus, day of commencement of soft diet, increased number of administration of analgesics, and prolonged hospital stay. Conclusions: Overweight and obesity were associated with poor early surgical outcomes of laparoscopic-assisted gastrectomy. This study suggested that greater cautions and improved surgical techniques were required to improve early surgical outcomes of laparoscopic-assisted gastrectomy for overweight and obese patients.

Original languageEnglish
Pages (from-to)151-154
Number of pages4
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume21
Issue number3
DOIs
StatePublished - 2011 Jun 1

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Gastrectomy
Stomach Neoplasms
Obesity
Body Mass Index
Flatulence
Weights and Measures
Analgesics
Length of Stay
Diet

Keywords

  • Early gastric cancer
  • Laparoscopy-assisted distal gastrectomy
  • Obesity

Cite this

Kim, MinGyu ; Yook, Jeong Hwan ; Kim, Kap Choong ; Kim, Tae Hwan ; Kim, Hee Sung ; Kim, Beom Su ; Kim, Byung Sik. / Influence of Obesity on early surgical outcomes of laparoscopic-assisted gastrectomy in gastric cancer. In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. 2011 ; Vol. 21, No. 3. pp. 151-154.
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Influence of Obesity on early surgical outcomes of laparoscopic-assisted gastrectomy in gastric cancer. / Kim, MinGyu; Yook, Jeong Hwan; Kim, Kap Choong; Kim, Tae Hwan; Kim, Hee Sung; Kim, Beom Su; Kim, Byung Sik.

In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 21, No. 3, 01.06.2011, p. 151-154.

Research output: Contribution to journalArticle

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