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Surg Laparosc Endosc Percutan Tech. 2013 Apr;23(2):145-8. doi: 10.1097/SLE.0b013e3182754575.

A hand-assisted laparoscopic distal gastrectomy can be an effective way in obese patients.

Author information

1
Department of General Surgery, Henan Provincial People's Hospital, Zhengzhou, China. zhangshang1995@126.com

Abstract

OBJECTIVE:

To evaluate the feasibility and safety of hand-assisted laparoscopic surgery for gastric cancer in obese patients, we compared the operative outcomes between obese and nonobese patients.

METHODS:

A total of 114 patients suffering from gastric cancer operated in our department from October 2009 to February 2012 were divided into 2 groups: the obese patients group and the nonobese patients group.

RESULTS:

Wound length, times of analgesic injection, time to the first flatus, postoperative hospital stay, tumor size, retrieved lymph nodes, AJCC/UICC staging, and resection margins were equivalent between the 2 groups. The estimated blood loss and operative time were significantly less or shorter in the nonobese patients group than in the obese patients group.

CONCLUSIONS:

Obesity should not be seen as a contraindication for hand-assisted laparoscopic distal gastrectomy, which is a safe and feasible procedure for obese patients.

PMID:
23579507
DOI:
10.1097/SLE.0b013e3182754575
[Indexed for MEDLINE]
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