Surgery Today

, Volume 41, Issue 7, pp 928–934

Influence of excess body weight on the surgical outcomes of total gastrectomy

Authors

  • Daisuke Nobuoka
    • Department of SurgeryNational Cancer Center Hospital East
  • Naoto Gotohda
    • Department of SurgeryNational Cancer Center Hospital East
  • Yuichiro Kato
    • Department of SurgeryNational Cancer Center Hospital East
  • Shinichiro Takahashi
    • Department of SurgeryNational Cancer Center Hospital East
  • Masaru Konishi
    • Department of SurgeryNational Cancer Center Hospital East
  • Taira Kinoshita
    • Department of SurgeryNational Cancer Center Hospital East
Original Article

DOI: 10.1007/s00595-010-4397-7

Cite this article as:
Nobuoka, D., Gotohda, N., Kato, Y. et al. Surg Today (2011) 41: 928. doi:10.1007/s00595-010-4397-7

Abstract

Purpose

We conducted this retrospective study to identify the influence of excess body weight on the surgical outcome of total gastrectomy (TG) and to evaluate recent advances in this operation.

Methods

The subjects were 644 consecutive gastric cancer patients who underwent TG between 1992 and 2008. Patients with a body mass index (BMI) of 25.0 kg/m2 or greater were defined as overweight (overweight group) and those with a BMI less than 25.0 kg/m2 as not overweight (non-overweight group).

Results

The operating times were longer (P = 0.005) and intraoperative blood loss was greater (P < 0.001) in the overweight group. The incidence of overall postoperative complications (P = 0.012) and of pancreatic fistula (P < 0.001) were significantly higher in the overweight group. In recent years, we achieved a reduction in operating time (P < 0.001), intraoperative blood loss (P = 0.033), and incidence of pancreatic fistula (P = 0.005), while maintaining curability, in the overweight group.

Conclusions

Although TG for gastric cancer is technically more difficult in overweight patients, they should not be denied this operation. Conversely, we should make a greater effort to improve the surgical outcomes of overweight patients.

Key words

Gastric cancerTotal gastrectomyOverweightSurgical outcomeBody mass index
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Copyright information

© Springer 2011