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Factors Affecting the Length of Hospital Days After Laparoscopic Gastrectomy for Elderly Patients with Gastric Cancer

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Abstract

Purpose

To clarify the factors affecting the length of hospitalization after laparoscopic gastrectomy based on the physical function, body composition, and postoperative course of the patients.

Methods

Of the patients with gastric cancer who underwent laparoscopic resection at the Ageo Central General Hospital, Japan, during 2018–2019, 51 underwent physical therapy. Data regarding the objective variables, such as length of postoperative hospital stay, and baseline attributes, such as age, body weight, body mass index (BMI), and corrected limb muscle mass, postoperative course (operation time, the estimated blood loss, the day before walking independently), preoperative physical function (grip strength, 6-min walking distance), and preoperative respiratory function (vital capacity [VC]%, one-second rate) were collected retrospectively from the medical records and analyzed using multiple regression plots.

Results

The most suitable hospital day model after surgery is one that incorporates the total postoperative course, respiratory function, physical function (R2 = 0.45, p < 0001), and operation time (β = 0.12, p < 0.06). The information of the day before independent walking (β = 0.68, p < 0.001) and % VC (β = −0.19, p < 0.04) was extracted as factors.

Conclusion

We concluded that the operation time, walking independence days, and % VC influence the postoperative length of hospital days.

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Author information

Authors and Affiliations

  1. Department of Rehabilitation, Ageo Central General Hospital, 1-10-1 Kasiwaz, Ageo, Saitama, 362-8588, Japan

    Takashi Amari, Chisa Hirukawa, Tatsuro Fukuda, Yuka Hidaka, Yukiho Makita, Kyosuke Fukuda, Masami Kimura & Kenichiro Yamaguchi

  2. Department of Physical Therapy, Health Science University, 7187 Kodachi, Fujikawaguchiko, Yamanashi, 401-0380, Japan

    Takashi Amari & Yuta Sakamoto

Authors
  1. Takashi Amari
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  2. Chisa Hirukawa
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  3. Tatsuro Fukuda
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  4. Yuka Hidaka
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  5. Yukiho Makita
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  6. Kyosuke Fukuda
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  7. Yuta Sakamoto
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  8. Masami Kimura
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  9. Kenichiro Yamaguchi
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Chisa Hirukawa, Tatsuro Fukuda, Yuka Hidaka, Yukiho Makita, Kyosuke Fukuda, and Yuta Sakamoto. The first draft of the manuscript was written by Takashi Amari and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Takashi Amari.

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Ethics Approval

This study was approved by the institutional ethics committee (approval number: 603).

Consent to Participate and Publication

Written informed consent for the use of the data and publication of the article was obtained from the patients.

Competing Interests

The authors declare no competing interests.

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Amari, T., Hirukawa, C., Fukuda, T. et al. Factors Affecting the Length of Hospital Days After Laparoscopic Gastrectomy for Elderly Patients with Gastric Cancer. J Gastrointest Canc 53, 472–479 (2022). https://doi.org/10.1007/s12029-021-00633-x

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  • DOI: https://doi.org/10.1007/s12029-021-00633-x

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