Effects of body mass index on the selection and efficacy of laparoscopic surgery in patients with gastric cancer(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2020年第4期
- Page:
- 498-501
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Effects of body mass index on the selection and efficacy of laparoscopic surgery in patients with gastric cancer
- Author(s):
- FAN Xianwen; HE Ersong; LIN Changrong; MO Kaidi
- Department of General Surgery, Jiangbin Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
- Keywords:
- Keywords: gastric cancer; body mass index; laparoscope; selection of surgical procedure
- PACS:
- R735.2
- DOI:
- DOI:10.3969/j.issn.1005-202X.2020.04.018
- Abstract:
- Abstract: Objective To investigate the effects of the body mass indexes (BMI) of patients with gastric cancer on the selection and therapeutic effect of laparoscopic operation. Methods A total of 115 patients receiving laparoscopic radical gastrectomy were enrolled in the study. According to BMI, the patients were divided into 3 groups, namely obese group (BMI>25 kg/m2, n=35), normal group (BMI 18.5-25.0 kg/m2, n=45) and underweight group (BMI<18.5 kg/m2, n=35). There were 15 cases of laparoscopy-assisted distal gastrictomy (LADG), 10 cases of laparoscopy-assisted proximal gastrictomy (LAPG) and 10 cases of laparoscopy-assisted total gastrectomy (LATG) in obese group, 14 cases of LADG, 20 cases of LAPG and 11 cases of LATG in normal group, and 10 cases of LADG, 15 cases of LAPG and 10 cases of LATG in underweight group. The postoperative recovery and postoperative survival in 3 groups were analyzed. Results Compared with those in normal group and underweight group, the operative time in obese group was significantly longer, and the intraoperative blood loss was increased, and the total number of dissected lymph nodes was decreased, with statistical differences (P<0.05). Moreover, the length of postoperative hospital stay in obese group was significantly longer than that in normal group and underweight group (P<0.05). No statistical difference was found in operative time, intraoperative blood loss, the total number of dissected lymph nodes and postoperative hospital stay between normal group and underweight group (P>0.05). Moreover, there were no statistically significant differences among 3 groups in tumor diameter, postoperative first anal exhaust time and the overall incidence of postoperative complications, overall survival rate and progression-free survival rate (P>0.05). Conclusion Among the gastric cancer patients with different BMI who were treated with LADG, LAPG and LATG, the patients in obese group has longer operative time and postoperative recovery time than those in normal group and underweight group, but BMI has trivial effects on postoperative complications and prognosis.
Last Update: 2020-04-29