Your browser doesn't support javascript.
loading
Effect of visceral fat area on outcomes of laparoscopyassisted distal gastrectomy for gastric cancer: subgroup analysis by gender and parameters of obesity
Annals of Surgical Treatment and Research ; : 318-324, 2015.
Article in English | WPRIM | ID: wpr-80545
ABSTRACT

PURPOSE:

The aim of this study was to investigate the impact of the visceral fat area (VFA) of patients with gastric cancer undergoing laparoscopic surgery on operative outcomes such as number of retrieved lymph nodes (LNs) and operative time.

METHODS:

We retrospectively reviewed the medical records and the CT scans of 597 patients with gastric cancer who underwent laparoscopy assisted distal gastrectomy (LADG) with partial omentectomy and LN dissection (>D1 plus beta). Patients were stratified by gender, VFA, and body mass index (BMI), and the clinicopathologic characteristics and operative outcomes were evaluated. Multiple linear regression analysis was used to assess the effects of VFA and BMI on the number of retrieved LNs and operative time in male and female patients.

RESULTS:

The mean number of retrieved LNs was significantly decreased for both male and female patients with high VFA. The operative time was significantly longer for both male and female patients with high VFA. The number of retrieved LNs had a statistically significant negative correlation with VFA in both men and women, but not with BMI. The operative time had a statistically significant positive correlation with VFA in men, whereas the operative time had a statistically significant positive correlation with BMI in women.

CONCLUSION:

The preoperative VFA of male patients with gastric cancer who undergo LADG may affect the number of retrieved LNs and operative time. VFA was more useful than BMI for predicting outcomes of LADG.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Stomach Neoplasms / Tomography, X-Ray Computed / Body Mass Index / Linear Models / Medical Records / Retrospective Studies / Laparoscopy / Intra-Abdominal Fat / Operative Time / Gastrectomy Type of study: Observational study / Prognostic study Limits: Female / Humans / Male Language: English Journal: Annals of Surgical Treatment and Research Year: 2015 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: WPRIM (Western Pacific) Main subject: Stomach Neoplasms / Tomography, X-Ray Computed / Body Mass Index / Linear Models / Medical Records / Retrospective Studies / Laparoscopy / Intra-Abdominal Fat / Operative Time / Gastrectomy Type of study: Observational study / Prognostic study Limits: Female / Humans / Male Language: English Journal: Annals of Surgical Treatment and Research Year: 2015 Type: Article