Feasibility of totally laparoscopic total gastrectomy in obese patients with gastric cancer

Suematsu, Hideaki; Kunisaki, Chikara; Miyamato, Hiroshi; Sato, Kei; Sato, Shigeo; Tanaka, Yusaku; Yukawa, Norio; Rino, Yasushi; Kubo, Takashi; Endo, Itaru; Masuda, Munetaka

doi:10.1007/s00423-021-02369-5

Cited by 2 publications

(2 citation statements)

References 29 publications

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“…Complicating matters further, positioning patients with larger body sizes and unique body shapes is both challenging and time-consuming 21 . Lastly, the need for meticulous wound closure and increased focus on infection prevention in obese patients also contributes to the prolonged duration of surgical procedures 35 . Despite these challenges, our study observed no significant differences in intraoperative blood loss or the number of lymph nodes dissected across different BMI groups.…”

Section: Discussionmentioning

confidence: 99%

“…The findings indicated discrepancies in whether high BMI prolongs operative time in LG. Of twenty studies included in our review, sixteen studies reported prolongation of operative time for elevated BMI [14][15][16][17]20,[25][26][27][28][29][30][31][32][33][34][35][36][37] , four studies indicated a lack of significant correlation between elevated BMI and operative time 18,20,38,39 . Ten studies reported that high BMI increased the risk of more blood loss during surgery [15][16][17]27,28,31,32,34,36,37 .…”

Section: Literature Reviewmentioning

confidence: 98%

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Comprehensive assessment of body mass index effects on short-term and long-term outcomes in laparoscopic gastrectomy for gastric cancer: a retrospective study

Hu,

et al. 2024

Sci Rep

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To examine the influence of Body Mass Index (BMI) on laparoscopic gastrectomy (LG) short-term and long-term outcomes for gastric cancer. A retrospective analysis was conducted on gastric cancer patients undergoing LG at the Third Hospital of Nanchang City from January 2013 to January 2022. Based on WHO BMI standards, patients were categorized into normal weight, overweight, and obese groups. Factors such as operative time, intraoperative blood loss, postoperative complications, and overall survival were assessed. Across different BMI groups, it was found that an increase in BMI was associated with longer operative times (average times: 206.22 min for normal weight, 231.32 min for overweight, and 246.78 min for obese), with no significant differences noted in intraoperative blood loss, postoperative complications, or long-term survival among the groups. The impact of BMI on long-term survival following LG for gastric cancer was found to be insignificant, with no notable differences in survival outcome between different BMI groups. Although higher BMI is associated with increased operative time in LG for gastric cancer, it does not significantly affect intraoperative blood loss, postoperative complications, recovery, or long-term survival. LG is a feasible treatment choice for obese patients with gastric cancer.

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Section: Discussionmentioning

confidence: 99%