ArticleSurgical endoscopy2018
Impact of obesity on short- and long-term outcomes of laparoscopy assisted distal gastrectomy for gastric cancer.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Robotic versus laparoscopic gastrectomy for gastric cancer in patients with obesity: systematic review and meta-analysis.Frontiers in oncology · 2023Pooled it
- Trial
- Impact of the articulating robotic system on suprapancreatic lymphadenectomy in obese patients with gastric cancer: A comparative study with conventional laparoscopy.Journal of robotic surgery · 2026Article
- Visceral adipose tissue in the lesser omentum predicts lymphovascular invasion, perineural invasion and survival in gastric cancer.Frontiers in oncology · 2025Article
- Effect of visceral obesity on outcomes of fluorescence-guided lymphadenectomy during laparoscopic gastrectomy for gastric cancer:Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2024Article
- Comprehensive assessment of body mass index effects on short-term and long-term outcomes in laparoscopic gastrectomy for gastric cancer: a retrospective study.Scientific reports · 2024Article
- The influence of obesity on the safety of laparoscopic cholecystectomy: a retrospective analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024Article
- Article
- Advantages of a robotic approach compared with laparoscopy gastrectomy for patients with high visceral fat area.Surgical endoscopy · 2022Article
- Clinical impact of perirenal thickness on short- and long-term outcomes of gastric cancer after curative surgery.Annals of gastroenterological surgery · 2022Article
- Feasibility of totally laparoscopic total gastrectomy in obese patients with gastric cancer.Langenbeck's archives of surgery · 2022Article
- Can a single-port robot be safely used for robotic total gastrectomy for advanced gastric cancer? First experience using the da Vinci SP platform.Gastroenterology report · 2022Article
- C-reactive protein adjusted for body mass index as a predictor of postoperative complications following laparoscopic gastrectomy for gastric cancer.Langenbeck's archives of surgery · 2021Article
- Effects of a high body mass index on the short-term outcomes and prognosis after radical gastrectomy.Surgery today · 2021Article
- New risk factors of postoperative complications in elective gastrointestinal surgery of elderly patients: a prospective cohort study.BMC surgery · 2021Article
- Low body mass index is an independent predictor of poor long-term prognosis among patients with resectable gastric cancer.World journal of gastrointestinal oncology · 2021Article
- Obesity is not a risk factor for either mortality or complications after laparoscopic cholecystectomy for cholecystitis.Scientific reports · 2021Article
- A Simple Predictive Index of the Abdominal Shape for Postoperative Complications After Laparoscopy-Assisted Distal Gastrectomy for Gastric Cancer.Frontiers in surgery · 2021Article
- Prognostic Value of Pretreatment Overweight/Obesity and Adipose Tissue Distribution in Resectable Gastric Cancer: A Retrospective Cohort Study.Frontiers in oncology · 2021Article
- Gastric Cancer Screening Methods: A Comparative Study of Two Scoring Methods.Cancer management and research · 2021Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopy assisted distal gastrectomy (LADG) for gastric cancer has been rapidly adopted for the treatment of both early and advanced gastric cancers which need lymph node dissection, but remains difficult procedure, especially in patients with obesity. We evaluated the impact of obesity on short- and long-term outcomes of LADG for gastric cancer.
methodsWe retrospectively investigated 243 patients who underwent LADG for gastric cancer between January 2007 and December 2014. The patients were classified based on their body mass index (BMI) into the Obese (BMI ≥ 25) and Non-Obese (BMI < 25) Groups. Patient characteristics, clinicopathologic and operative findings, and short- and long-term outcomes were investigated and compared between the groups.
resultsThe groups did not differ in age, sex, American Society of Anesthesiologists score, the presence of comorbidities, or pathologic stage. Operative time (265 ± 46.6 vs. 244 ± 55.6 min; P = 0.007) and estimated blood loss (113 ± 101.4 vs. 66.5 ± 95.2 ml; P = 0.007) were greater in the Obese Group. Fewer lymph nodes were retrieved in the Obese Group (38 ± 23.7 vs. 47.5 ± 24.3; P = 0.004). No differences were evident in postoperative complication rate (20% vs. 17%; P = 0.688) or the duration of postoperative hospital stay (9 ± 8.5 vs. 9 ± 5.1 days; P = 0.283) between the two groups. In the Obese Group, the 5-year overall survival rate was significantly lower than in the Non-Obese Group (67.6% vs. 90.3%; P = 0.036). Furthermore, 5-year disease-specific survival was significantly lower in the Obese Group than in the Non-Obese Group (72.7% vs. 94.9%; P = 0.015).
conclusionsLADG in patients with obesity could be performed as safe as in patients without obesity, with comparable postoperative results. But obesity may be a poor prognostic factor in gastric cancer.
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