Body mass index does not affect systematic D2 lymph node dissection and postoperative morbidity in gastric cancer patients

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Item Type:	Article
Title:	Body mass index does not affect systematic D2 lymph node dissection and postoperative morbidity in gastric cancer patients
Creators Name:	Gretschel, S., Christoph, F., Bembenek, A., Estevez-Schwarz, L., Schneider, U. and Schlag, P.M.
Abstract:	BACKGROUND:The extent of standard lymph node dissection (D1, D2, or D3) in gastric cancer patients is still controversial. Several prospective European trials attained contradictory results. A generally increased body mass index (BMI) of the European patients was assumed to be one of the major causes for postoperative morbidity. METHODS: We evaluated the effect of BMI on the quality of routine D2 lymph node dissection and on postoperative morbidity in patients with gastric cancer who underwent a potentially curative total gastrectomy. A total of 199 consecutive gastric cancer patients who underwent a total gastrectomy and a routine D2 lymph node dissection between 1992 and 2001 were included in the study. According to BMI, they were assigned to three groups: group A, with BMI <25 kg/m(2) (normal body weight); group B, with BMI of 25 to 30 kg/m(2) (overweight); and group C, with BMI >30 kg/m(2) (obesity). Parameters such as complete histopathological staging, intraoperative blood loss, length of operation, and surgical and nonsurgical morbidity were recorded and correlated within the different groups. RESULTS: No significant differences were found with regard to the number of examined lymph nodes, blood loss, length of operation, surgical complications, or length of stay in the intensive care unit. CONCLUSIONS:In contrast to comparable Japanese studies, our analysis reveals that even for overweight patients, a standard D2 lymph node dissection is justified without significantly increased morbidity.
Keywords:	Gastric cancer, D2 lymph node dissection, Body mass index, Morbidity
Source:	Annals of Surgical Oncology
ISSN:	1068-9265
Volume:	10
Number:	4
Page Range:	363-368
Date:	May 2003
Official Publication:	https://doi.org/10.1245/ASO.2003.07.011
PubMed:	View item in PubMed

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