Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Research ArticleVolume 4 Issue 5

Laparoscopic Total Gastrectomy for Gastric Cancer: Does Body Mass Index Matter?

Akile Zengin1*, Yusuf Murat Bağ2, Mehmet Can Aydin3, Kuntay Kaplan4, Fatih Sumer4 and Cüneyt Kayaalp5

1Department of Gastrointestinal Surgery, Malatya Training and Research Hospital, Malatya, Turkey
2Department of Gastrointestinal Surgery, Van Training and Research Hospital, Van, Turkey
3Department of Gastrointestinal Surgery, Ondokuz Mayıs University, Samsun, Turkey
4Department of Gastrointestinal Surgery, Inonu University, Malatya, Turkey
5Department of Gastrointestinal Surgery, Yeditepe University, Istanbul, Turkey

*Corresponding Author: Akile Zengin, Department of Gastrointestinal Surgery, Malatya Training and Research Hospital, Malatya, Turkey.

Received: March 25, 2021; Published: April 15, 2021

Citation: Akile Zengin., et al. “Laparoscopic Total Gastrectomy for Gastric Cancer: Does Body Mass Index Matter?”. Acta Scientific Gastrointestinal Disorders 4.5 (2021): 28-32.

Abstract

Aim: The effect of increased body mass index (BMI) on the intraoperative complications and short-term outcomes of laparoscopic total gastrectomy (LTG) is controversial. We aimed to evaluate the influence of BMI on intraoperative and early postoperative outcomes in patients with LTG for gastric cancer (GC).

Methods: Thirty-six patients who underwent LTG for GC were included in the study. The patients were divided into two groups as normal weighted (BMI = 18.5 - 24.9 kg/m2, n = 23) and overweighted-obese (BMI ≥ 25 kg/m2, n = 13). Preoperative and intraoperative data, postoperative outcomes were retrospectively analyzed and compared between the two groups.

Results: The preoperative data were similar between the groups except for BMI. The median preoperative carcinoembryonic antigen (CEA) level (3.6 ng/ml to 1.9 ng/ml, p = 0.07) was higher in the overweighted-obese group, but the difference was not significant. There were six conversions (26%) in the normal weighted group, while no conversion was observed in the overweighted-obese group (p = 0.06). But conversion reasons were not associated with high BMI. The rate of intraoperative complications (23% to 8.6%, p = 0.32) was higher in the overweighted-obese patients, although this difference was not significant.

Conclusion: Although the intraoperative complication rate and the conversion rate differed between the groups, BMI had no significant effect on intraoperative and early postoperative outcomes in patients who underwent LTG for GC.

Keywords: BMI; Obesity; Gastric Adenocarcinoma; Minimally Invasive Gastrectomy

Bibliography

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Copyright: © 2021 Akile Zengin., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



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