文献类型：期刊文献

英文题名：Impact of Abdominal Shape on Short-Term Surgical Outcome of Laparoscopy-Assisted Distal Gastrectomy for Gastric Cancer

作者：Wang, Wei[1];Ai, Kai-Xing[2];Tao, Feng[1];Jin, Ke-Tao[1];Jing, Yuan-Ming[1];Xu, Guan-Gen[1];Lv, Jie-Qing[1];Wang, Ting[3];Wei, Jian-Guo[4];Sun, Ai-Jing[5];Xing, Hai-Yan[6]

机构：[1]Zhejiang Univ, Shaoxing Hosp, Shaoxing Peoples Hosp, Dept Gastrointestinal Surg, 568 Zhongxing North Rd, Shaoxing 312000, Zhejiang, Peoples R China;[2]Tongji Univ, Tongji Hosp, Sch Med, Dept Gen Surg, Shanghai 200065, Peoples R China;[3]Zhejiang Univ, Shaoxing Hosp, Shaoxing Peoples Hosp, Dept Radiol, Shaoxing 312000, Zhejiang, Peoples R China;[4]Zhejiang Univ, Shaoxing Hosp, Shaoxing Peoples Hosp, Dept Pathol, Shaoxing 312000, Zhejiang, Peoples R China;[5]Shaoxing Univ, Sch Med, Dept Pathol, Shaoxing 312000, Zhejiang, Peoples R China;[6]Shaoxing Univ, Sch Med, Dept Stat, Shaoxing 312000, Zhejiang, Peoples R China

年份：2016

卷号：20

期号：6

起止页码：1091

外文期刊名：JOURNAL OF GASTROINTESTINAL SURGERY

收录：SCI-EXPANDED(收录号：WOS:000376673800002)、、Scopus(收录号：2-s2.0-84960124025)、WOS

基金：This work was supported by the National Natural Science Foundation of China (Grant Nos. 81374014 and 81472210) and Zhejiang Provincial Medical and Healthy Science and Technology Projects (Grant No. 2013KYA228). We are grateful to Hai-Yan Xing for the statistical review of the study. We thank Dr. Cathel Kerr for English correction of the text.

语种：英文

外文关键词：Abdominal shape; Laparoscopy-assisted distal gastrectomy; Gastric cancer; Short-term surgical outcome

外文摘要：Laparoscopy-assisted distal gastrectomy (LADG) has been widely accepted for the treatment for gastric cancer. The aim of the present study was to explore the impact of abdominal shape parameters on gastric antrum cancer patients' short-term surgical outcomes of LADG with D2 lymph node dissection in both genders, including the number of lymph nodes retrieved and surgical safety index. This was a retrospective analysis of 177 gastric antrum cancer patients, who underwent LADG between April 2009 and January 2016. The abdominal shape parameters, including abdominal anterior-posterior diameter (APD), transverse diameter (TD), xiphoid process of the sternum-navel distance (XND), and thickness of subcutaneous fat (SCF) at the umbilicus level, were calculated by preoperative abdominal computed tomography (CT) scans. The effects of abdominal shape parameters on the short-term surgical outcomes of LADG were analyzed. In male patients undergoing LADG and D2 lymph node dissection, the number of retrieved lymph nodes was significantly lower in patients with APD a parts per thousand yen17.3 cm (P = 0.005), TD a parts per thousand yen27.4 cm (P = 0.029), SCF a parts per thousand yen1.2 cm (P = 0.014), and BMI a parts per thousand yen22.2 (P = 0.008), whereas in female patients, these were statistically insignificant (P > 0.05). APD, TD, SCF, and BMI were negatively correlated with the number of retrieved lymph nodes in male patients. There was no significant difference in the number of lymph nodes retrieved between high-XND group and low-XND group in either gender. Operation time was significantly shorter in male patients with XND < 17.0 cm (P = 0.044) and in female patients with SCF < 2.15 cm (P = 0.013). Intraoperative blood loss and postoperative complication rate were not significantly different between high- and low-APD groups, high- and low-TD groups, high- and low-XND groups, and high- and low-SCF groups in either gender. Compared with male patients, SCF and TD were significantly higher in female patients. In addition, a higher incidence rate of hypertension was observed in patients of both genders with large APD and SCF, although statistically significant only in male patients. LADG with D2 lymph node dissection can effectively achieve the lymph node dissection requirement of radical distal gastrectomy for patients with various abdominal shapes. It is worth noting that APD, TD, and SCF can impact on lymph node dissection of LADG in male patients. Nevertheless, in female patients, abdominal shape do not impact on lymph node dissection of LADG. Moreover, LADG with D2 lymph node dissection is proved to be safe for various abdominal shape in both genders, even for abdominal obese patients.