Short-term outcomes for laparoscopy-assisted distal gastrectomy for body mass index ≥30 patients with gastric cancer

• Published in: The Journal of surgical research 2015-05, Vol.195 (1), p.83-88
• Main Authors: Wang, Zheng, MD, Zhang, Xingmao, MD, Liang, Jianwei, MD, Hu, Junjie, MD, Zeng, Weigen, MD, Zhou, Zhixiang, MD
• Format: Article
• Language: English
• Subjects: Adult; Aged; Body Mass Index; China - epidemiology; Female; Gastrectomy - statistics & numerical data; Gastric cancer; Humans; Laparoscopy; Laparoscopy - statistics & numerical data; Male; Middle Aged; Obese; Obesity - complications; Retrospective Studies; Stomach Neoplasms - complications; Stomach Neoplasms - mortality; Stomach Neoplasms - surgery; Surgery; Treatment outcome
• ISSN: 0022-4804; 1095-8673
• DOI: 10.1016/j.jss.2014.12.044

Abstract Background Obesity is known to be a preoperative risk factor for gastric cancer surgery. This study aimed to investigate the influence of obesity on the surgical outcomes of laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer. Methods The clinical data of 131 patients with gastric cancer from January 2010–December 2013 were analyzed retrospectively. Perioperative outcomes were compared between 43 patients with a body mass index (BMI) ≥30 kg/m2 (obese group) and 88 patients with a BMI 0.05). During the follow-up period of 5 mo–49 mo (average, 36 mo), the overall survival rates were not significantly different between the two groups (80.0% [32/40] versus 81.9% [68/83], P  > 0.05). The differences in recurrence and metastasis between the two groups were not statistically significant. Conclusions Our analysis revealed that LADG can be safely performed in patients with BMI ≥30. The procedure was considered to be difficult but sufficiently feasible.