The Impact of Overweight and Obesity on Reduced-Port Laparoscopic Distal Gastrectomy for Gastric Cancer Patients: A Propensity Score Matching Analysis of a Single-Institution Data
This study aimed to investigate the short-term postoperative outcomes of reduced-port laparoscopic distal gastrectomy and demonstrate its safety and feasibility in overweight and obese patients with gastric cancer. The medical records of 211 patients who underwent reduced-port laparoscopic distal ga...
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Veröffentlicht in: | Journal of clinical medicine 2022-10, Vol.11 (21), p.6453 |
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description | This study aimed to investigate the short-term postoperative outcomes of reduced-port laparoscopic distal gastrectomy and demonstrate its safety and feasibility in overweight and obese patients with gastric cancer. The medical records of 211 patients who underwent reduced-port laparoscopic distal gastrectomy, between August 2014 and April 2020, were reviewed. After propensity score matching, they were divided into a non-overweight group (n = 68) and overweight group (n = 68). Operative details and short-term surgical outcomes were compared between two groups. Reduced-port laparoscopic distal gastrectomy in overweight group showed statistically longer operation time (200.59 vs. 208.68 min, p = 0.044), higher estimated bleeding volume (40.96 vs. 58.01 mL, p = 0.001), and lesser number of harvested lymph nodes (36.81 vs. 32.13, p = 0.039). However, no significant differences were found in hospital course and other surgical outcomes. There was no mortality in either group, and the postoperative morbidity rate was not significantly different (14.7% vs. 16.2%). In the subgroup analysis, overweight and obesity did not significantly affect postoperative complication rates (16.2% vs. 16.2%, p = 1). We demonstrated comparable short-term surgical outcomes of reduced-port laparoscopic distal gastrectomy between the two groups (p = 0.412~1). Reduced-port laparoscopic distal gastrectomy was safe in overweight and obese patients with gastric cancer. |
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The medical records of 211 patients who underwent reduced-port laparoscopic distal gastrectomy, between August 2014 and April 2020, were reviewed. After propensity score matching, they were divided into a non-overweight group (n = 68) and overweight group (n = 68). Operative details and short-term surgical outcomes were compared between two groups. Reduced-port laparoscopic distal gastrectomy in overweight group showed statistically longer operation time (200.59 vs. 208.68 min, p = 0.044), higher estimated bleeding volume (40.96 vs. 58.01 mL, p = 0.001), and lesser number of harvested lymph nodes (36.81 vs. 32.13, p = 0.039). However, no significant differences were found in hospital course and other surgical outcomes. There was no mortality in either group, and the postoperative morbidity rate was not significantly different (14.7% vs. 16.2%). In the subgroup analysis, overweight and obesity did not significantly affect postoperative complication rates (16.2% vs. 16.2%, p = 1). We demonstrated comparable short-term surgical outcomes of reduced-port laparoscopic distal gastrectomy between the two groups (p = 0.412~1). Reduced-port laparoscopic distal gastrectomy was safe in overweight and obese patients with gastric cancer.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11216453</identifier><identifier>PMID: 36362681</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Abdomen ; Body mass index ; Clinical medicine ; Data collection ; Dissection ; Gastric cancer ; Gastrointestinal surgery ; Hospitals ; Laparoscopy ; Lymphatic system ; Metastasis ; Obesity ; Overweight ; Patient care planning ; Surgical outcomes ; Tomography ; Variables</subject><ispartof>Journal of clinical medicine, 2022-10, Vol.11 (21), p.6453</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c386t-f08b74bfd950c63234ea438952631d8e66da6b5dde15f4bcfd05f042d85999a53</citedby><cites>FETCH-LOGICAL-c386t-f08b74bfd950c63234ea438952631d8e66da6b5dde15f4bcfd05f042d85999a53</cites><orcidid>0000-0002-8451-0061</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9657806/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9657806/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Kim, Ho-Goon</creatorcontrib><creatorcontrib>Kang, Dong-Yeon</creatorcontrib><creatorcontrib>Kim, Dong-Yi</creatorcontrib><title>The Impact of Overweight and Obesity on Reduced-Port Laparoscopic Distal Gastrectomy for Gastric Cancer Patients: A Propensity Score Matching Analysis of a Single-Institution Data</title><title>Journal of clinical medicine</title><description>This study aimed to investigate the short-term postoperative outcomes of reduced-port laparoscopic distal gastrectomy and demonstrate its safety and feasibility in overweight and obese patients with gastric cancer. The medical records of 211 patients who underwent reduced-port laparoscopic distal gastrectomy, between August 2014 and April 2020, were reviewed. After propensity score matching, they were divided into a non-overweight group (n = 68) and overweight group (n = 68). Operative details and short-term surgical outcomes were compared between two groups. Reduced-port laparoscopic distal gastrectomy in overweight group showed statistically longer operation time (200.59 vs. 208.68 min, p = 0.044), higher estimated bleeding volume (40.96 vs. 58.01 mL, p = 0.001), and lesser number of harvested lymph nodes (36.81 vs. 32.13, p = 0.039). However, no significant differences were found in hospital course and other surgical outcomes. There was no mortality in either group, and the postoperative morbidity rate was not significantly different (14.7% vs. 16.2%). In the subgroup analysis, overweight and obesity did not significantly affect postoperative complication rates (16.2% vs. 16.2%, p = 1). We demonstrated comparable short-term surgical outcomes of reduced-port laparoscopic distal gastrectomy between the two groups (p = 0.412~1). Reduced-port laparoscopic distal gastrectomy was safe in overweight and obese patients with gastric cancer.</description><subject>Abdomen</subject><subject>Body mass index</subject><subject>Clinical medicine</subject><subject>Data collection</subject><subject>Dissection</subject><subject>Gastric cancer</subject><subject>Gastrointestinal surgery</subject><subject>Hospitals</subject><subject>Laparoscopy</subject><subject>Lymphatic system</subject><subject>Metastasis</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Patient care planning</subject><subject>Surgical outcomes</subject><subject>Tomography</subject><subject>Variables</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpdkt-K1DAUxoso7rLulS8Q8EaQatqkaeqFMMzqOjAyg7tel9PkdCZDm9QkXZnn8gXN7iyyem7Ovx8fH4eTZa8L-p6xhn44qLEoykLwij3Lzkta1zllkj1_Up9llyEcaAopeVnUL7MzJpgohSzOs9-3eySrcQIVievJ5g79LzS7fSRgNdl0GEw8EmfJd9SzQp1vnY9kDRN4F5SbjCJXJkQYyDWE6FFFNx5J7_ypT-slWIWebCEatDF8JAuy9W5C-6B8o5xH8g2i2hu7IwsLwzGYcO8FyE0aDZivbIgmztEkG1cQ4VX2ooch4OVjvsh-fPl8u_yarzfXq-VinSsmRcx7Kruad71uKqoEKxlH4Ew2VSlYoSUKoUF0ldZYVD3vVK9p1VNealk1TQMVu8g-nXSnuRtRq2Tfw9BO3ozgj60D0_67sWbf7txd24iqllQkgbePAt79nDHEdjRB4TCARTeHtqxZJWvGeJ3QN_-hBzf7dI0HigtGOZeJeneiVLp-8Nj_NVPQ9v4f2if_wP4AcYypyQ</recordid><startdate>20221031</startdate><enddate>20221031</enddate><creator>Kim, Ho-Goon</creator><creator>Kang, Dong-Yeon</creator><creator>Kim, Dong-Yi</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8451-0061</orcidid></search><sort><creationdate>20221031</creationdate><title>The Impact of Overweight and Obesity on Reduced-Port Laparoscopic Distal Gastrectomy for Gastric Cancer Patients: A Propensity Score Matching Analysis of a Single-Institution Data</title><author>Kim, Ho-Goon ; Kang, Dong-Yeon ; Kim, Dong-Yi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-f08b74bfd950c63234ea438952631d8e66da6b5dde15f4bcfd05f042d85999a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Body mass index</topic><topic>Clinical medicine</topic><topic>Data collection</topic><topic>Dissection</topic><topic>Gastric cancer</topic><topic>Gastrointestinal surgery</topic><topic>Hospitals</topic><topic>Laparoscopy</topic><topic>Lymphatic system</topic><topic>Metastasis</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Patient care planning</topic><topic>Surgical outcomes</topic><topic>Tomography</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Ho-Goon</creatorcontrib><creatorcontrib>Kang, Dong-Yeon</creatorcontrib><creatorcontrib>Kim, Dong-Yi</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Ho-Goon</au><au>Kang, Dong-Yeon</au><au>Kim, Dong-Yi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Overweight and Obesity on Reduced-Port Laparoscopic Distal Gastrectomy for Gastric Cancer Patients: A Propensity Score Matching Analysis of a Single-Institution Data</atitle><jtitle>Journal of clinical medicine</jtitle><date>2022-10-31</date><risdate>2022</risdate><volume>11</volume><issue>21</issue><spage>6453</spage><pages>6453-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>This study aimed to investigate the short-term postoperative outcomes of reduced-port laparoscopic distal gastrectomy and demonstrate its safety and feasibility in overweight and obese patients with gastric cancer. The medical records of 211 patients who underwent reduced-port laparoscopic distal gastrectomy, between August 2014 and April 2020, were reviewed. After propensity score matching, they were divided into a non-overweight group (n = 68) and overweight group (n = 68). Operative details and short-term surgical outcomes were compared between two groups. Reduced-port laparoscopic distal gastrectomy in overweight group showed statistically longer operation time (200.59 vs. 208.68 min, p = 0.044), higher estimated bleeding volume (40.96 vs. 58.01 mL, p = 0.001), and lesser number of harvested lymph nodes (36.81 vs. 32.13, p = 0.039). However, no significant differences were found in hospital course and other surgical outcomes. There was no mortality in either group, and the postoperative morbidity rate was not significantly different (14.7% vs. 16.2%). In the subgroup analysis, overweight and obesity did not significantly affect postoperative complication rates (16.2% vs. 16.2%, p = 1). 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subjects | Abdomen Body mass index Clinical medicine Data collection Dissection Gastric cancer Gastrointestinal surgery Hospitals Laparoscopy Lymphatic system Metastasis Obesity Overweight Patient care planning Surgical outcomes Tomography Variables |
title | The Impact of Overweight and Obesity on Reduced-Port Laparoscopic Distal Gastrectomy for Gastric Cancer Patients: A Propensity Score Matching Analysis of a Single-Institution Data |
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