Effect of obesity on intraoperative bleeding volume in open gastrectomy with D2 lymph-node dissection for gastric cancer.

Patient Safety in Surgery
Hirochika MakinoHiroshi Shimada

Abstract

To investigate the effect of obesity on open gastrectomy with D2 lymph-node dissection. Between January 2005 and March 2007, 100 patients with preoperatively diagnosed gastric cancer who underwent open gastrectomy with D2 lymph-node dissection were enrolled in this study. Of these, 61 patients underwent open distal gastrectomy (ODG) and 39 patients underwent open total gastrectomy (OTG). Patients were classified as having a high body-mass index (BMI; >/= 25.0 kg/m2; n = 21) or a normal BMI (<25.0 kg/m2; n = 79). The visceral fat area (VFA) and subcutaneous fat area (SFA) were assessed as identifiers of obesity using FatScan software. Patients were classified as having a high VFA (>/= 100 cm2; n = 34) or a normal VFA (<100 cm2; n = 66). The relationship between obesity and short-term patient outcomes after open gastrectomy was evaluated. Patients were classified as having high intraoperative blood loss (IBL; >/= 300 ml; n = 42) or low IBL (<300 ml; n = 58). Univariate and multivariate analyses were used to identify predictive factors for high IBL. Significantly increased IBL was seen in the following: patients with high BMI versus normal BMI; patients with gastric cancer in the upper third of the stomach versus gastric cancer in...Continue Reading

References

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Citations

Oct 19, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Francesco PetrellaLorenzo Spaggiari
Jul 31, 2012·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Akira MiyakiJun Matsumoto
Apr 10, 2019·Lipids in Health and Disease·Yanbing DingGuotao Lu
Oct 12, 2018·Gastroenterology Research and Practice·Yongke LiuZhiqi Gong

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Methods Mentioned

BETA
dissection
biopsies

Software Mentioned

SPSS
LigaSure
FatScan

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