Predictive factors for surgical complications of laparoscopy-assisted distal gastrectomy for gastric cancer.

Surgical Endoscopy
Chikara KunisakiHiroshi Shimada

Abstract

Some studies have found high incidences of intraoperative and postoperative complications for patients with gastric cancer. To determine the predictive factors for the surgical complications of laparoscopic gastric surgery, surgical outcomes were evaluated. Between April 2002 and December 2007, 152 patients with preoperatively diagnosed early gastric cancer who underwent laparoscopy-assisted distal gastrectomy (LADG) were enrolled. Visceral (VFA) and subcutaneous fat areas (SFA) were assessed by Fat Scan software. The predictive factors for surgical complications of LADG were evaluated by univariate and logistic regression analyses. Of 152 patients, conversion to open surgery due to uncontrollable bleeding was observed in nine male patients, and postoperative complications were detected in seven male and one female patient (four anastomotic leakage, two intraabdominal abscess, one pancreatic fistula, and one lymphorrhea). High body mass index (BMI) and high VFA independently predicted conversion to open surgery and postoperative complications. VFA was significantly higher, operation time was longer, blood loss was greater, and SFA was lower in male than in female patients, whereas no significant difference was observed in BMI b...Continue Reading

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Citations

Jun 2, 2009·Surgical Endoscopy·Christof Hottenrott
Apr 13, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hee Sung KimByung Sik Kim
Aug 1, 2013·World Journal of Gastroenterology : WJG·Xiang-Song WuYing-Bin Liu
Jan 1, 2014·World Journal of Gastroenterology : WJG·Shuhei KomatsuEigo Otsuji
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