Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.

<h4>Background</h4>Reduced-port laparoscopic gastrectomy is currently widely performed for patients with gastric cancer. However, its safety in obese patients has not yet been verified. This is the first study on reduced-port laparoscopic distal gastrectomy (RpLDG) in obese patients with...

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Autores principales:	Dong Yeon Kang, Ho Goon Kim, Dong Yi Kim
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f3bddd54c50948179e40a90dab65b207
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spelling	oai:doaj.org-article:f3bddd54c50948179e40a90dab65b2072021-12-02T20:18:37ZReduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.1932-620310.1371/journal.pone.0255855https://doaj.org/article/f3bddd54c50948179e40a90dab65b2072021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255855https://doaj.org/toc/1932-6203<h4>Background</h4>Reduced-port laparoscopic gastrectomy is currently widely performed for patients with gastric cancer. However, its safety in obese patients has not yet been verified. This is the first study on reduced-port laparoscopic distal gastrectomy (RpLDG) in obese patients with gastric cancer. This study aimed to evaluate the short-term surgical outcomes and investigate the feasibility and safety of RpLDG in obese patients with gastric carcinoma.<h4>Material and methods</h4>A total of 271 gastric cancer patients who underwent RpLDG at our institution were divided into two groups: non-obese [body mass index (BMI) <30 kg/m2, n = 251; NOG] and obese (BMI ≥30 kg/m2, n = 20; OG). The mean age of the enrolled patients was 64.8 ± 11.4 years, with 72.0% being men and 28.0% women. Operative details and short-term surgical outcomes, including hospital course and postoperative complications, were compared by retrospectively reviewing the medical records.<h4>Results</h4>No significant difference in operation time was found between the NOG and OG (205.9 ± 40.0 vs. 211.3 ± 37.3 minutes, P = 0.563). Other operative outcomes in the OG, including estimated blood loss (54.1 ± 86.1 vs. 54.0 ± 39.0 mL, P = 0.995) and retrieved lymph nodes (36.2 ± 16.4 vs. 35.5 ± 18.2, P = 0.875), were not inferior to those in the NOG. There were also no statistical differences in short-term surgical outcomes, including the incidence of surgical complications (13.9% vs. 10.0%, P = 1).<h4>Conclusion</h4>RpLDG can be performed safely in obese gastric cancer patients by an experienced surgeon. It should be considered a feasible alternative to conventional port distal gastrectomy.Dong Yeon KangHo Goon KimDong Yi KimPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255855 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Dong Yeon Kang Ho Goon Kim Dong Yi Kim Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.
description	<h4>Background</h4>Reduced-port laparoscopic gastrectomy is currently widely performed for patients with gastric cancer. However, its safety in obese patients has not yet been verified. This is the first study on reduced-port laparoscopic distal gastrectomy (RpLDG) in obese patients with gastric cancer. This study aimed to evaluate the short-term surgical outcomes and investigate the feasibility and safety of RpLDG in obese patients with gastric carcinoma.<h4>Material and methods</h4>A total of 271 gastric cancer patients who underwent RpLDG at our institution were divided into two groups: non-obese [body mass index (BMI) <30 kg/m2, n = 251; NOG] and obese (BMI ≥30 kg/m2, n = 20; OG). The mean age of the enrolled patients was 64.8 ± 11.4 years, with 72.0% being men and 28.0% women. Operative details and short-term surgical outcomes, including hospital course and postoperative complications, were compared by retrospectively reviewing the medical records.<h4>Results</h4>No significant difference in operation time was found between the NOG and OG (205.9 ± 40.0 vs. 211.3 ± 37.3 minutes, P = 0.563). Other operative outcomes in the OG, including estimated blood loss (54.1 ± 86.1 vs. 54.0 ± 39.0 mL, P = 0.995) and retrieved lymph nodes (36.2 ± 16.4 vs. 35.5 ± 18.2, P = 0.875), were not inferior to those in the NOG. There were also no statistical differences in short-term surgical outcomes, including the incidence of surgical complications (13.9% vs. 10.0%, P = 1).<h4>Conclusion</h4>RpLDG can be performed safely in obese gastric cancer patients by an experienced surgeon. It should be considered a feasible alternative to conventional port distal gastrectomy.
format	article
author	Dong Yeon Kang Ho Goon Kim Dong Yi Kim
author_facet	Dong Yeon Kang Ho Goon Kim Dong Yi Kim
author_sort	Dong Yeon Kang
title	Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.
title_short	Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.
title_full	Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.
title_fullStr	Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.
title_full_unstemmed	Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.
title_sort	reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f3bddd54c50948179e40a90dab65b207
work_keys_str_mv	AT dongyeonkang reducedportlaparoscopicdistalgastrectomyinobesegastriccancerpatients AT hogoonkim reducedportlaparoscopicdistalgastrectomyinobesegastriccancerpatients AT dongyikim reducedportlaparoscopicdistalgastrectomyinobesegastriccancerpatients
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Reduced-port laparoscopic distal gastrectomy in obese gastric cancer patients.

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