The impact of abdominal shape index of patients on laparoscopy-assisted distal gastrectomy for early gastric cancer

Purpose The aim of this study was to explore the effects of the abdominal shape index on gastric cancer patients’ short-term surgical outcomes of laparoscopy-assisted distal gastrectomy (LADG) in both genders. Methods This retrospective study included 231 consecutive patients with early gastric canc...

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Bibliographic Details
Published in:Langenbeck's archives of surgery 2012-03, Vol.397 (3), p.437-445
Main Authors: Ojima, Toshiyasu, Iwahashi, Makoto, Nakamori, Mikihito, Nakamura, Masaki, Takifuji, Katsunari, Katsuda, Masahiro, Iida, Takeshi, Tsuji, Toshiaki, Hayata, Keiji, Yamaue, Hiroki
Format: Article
Language:English
Subjects:
Abdominal Fat - diagnostic imaging
Abdominal Surgery
Adenocarcinoma - epidemiology
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Body Size
Cardiac Surgery
Female
Gastrectomy - methods
General Surgery
Humans
Laparoscopy
Lymph Node Excision
Male
Medicine
Medicine & Public Health
Multivariate Analysis
Neoplasm Invasiveness
Obesity - epidemiology
Original Article
Retrospective Studies
Risk Factors
Stomach Neoplasms - epidemiology
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Thoracic Surgery
Tomography, X-Ray Computed
Traumatic Surgery
Treatment Outcome
Vascular Surgery
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Summary:Purpose The aim of this study was to explore the effects of the abdominal shape index on gastric cancer patients’ short-term surgical outcomes of laparoscopy-assisted distal gastrectomy (LADG) in both genders. Methods This retrospective study included 231 consecutive patients with early gastric cancer who underwent LADG with Billroth I anastomosis between 1998 and 2009. The abdominal shape index of patients was calculated using preoperative abdominal computed tomography scans and the Fat Scan software program. Results In male patients, the duration of surgery was longer in patients with a body mass index ≥25 kg/m 2 ( P  = 0.016), with the anterior to posterior diameter ≥200 mm ( P  
ISSN:1435-2443
1435-2451
DOI:10.1007/s00423-011-0883-7