J Gastric Cancer.  2012 Jun;12(2):108-112.

The Impact of Obesity on the Use of a Totally Laparoscopic Distal Gastrectomy in Patients with Gastric Cancer

• Oki E
• Sakaguchi
• Ohgaki K
• Saeki H
• Chinen Y
• Minami K
• Sakamoto Y
• Toh Y
• Kusumoto T
• Okamura T
• Maehara Y

Abstract

PURPOSE
Since a patient's obesity can affect the mortality and morbidity of the surgery, less drastic surgeries may have a major benefit for obese individuals. This study evaluated the feasibility of performing a totally laparoscopic distal gastrectomy, with intracorporeal anastomosis, in obese patients suffering from gastric cancer.
MATERIALS AND METHODS
This was a retrospective analysis of the 138 patients, who underwent a totally laparoscopic distal gastrectomy from April 2005 to March 2009, at the National Kyushu Cancer Center. The body mass index of 20 patients was > or =25, and in 118 patients, it was <25 kg/m2.
RESULTS
The mean values of body mass index in the 2 groups were 27.3+/-2.2 and 21.4+/-2.3. Hypertension was significantly more frequent in the obese patients than in the non-obese patients. The intraoperative blood loss, duration of surgery, post-operative complication rate, post-operative hospital stay, and a number of retrieved lymph nodes were not significantly different between the two groups.
CONCLUSIONS
Intracorporeal anastomosis seemed to have a benefit for obese individuals. Totally laparoscopic gastrectomy is, therefore, considered to be a safe and an effective modality for obese patients.

Keyword

Laparoscopy; Gastrectomy; Stomach neoplasms; Obesity; Body mass index

MeSH Terms

Body Mass Index
Gastrectomy
Humans
Hypertension
Laparoscopy
Length of Stay
Lymph Nodes
Obesity
Retrospective Studies
Stomach Neoplasms
Stress, Psychological

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