Effect of individual fat areas on early surgical outcomes after open gastrectomy for gastric cancer

• DOI: 10.1002/bjs.6586
• Publication Date: 2009-04-08T14:43:38Z
• Authors: M Tokunaga; N Hiki; T Fukunaga; T Ogura; S Miyata; T Yamaguchi
• Keywords: Subcutaneous fat; Intra-Abdominal Fat

Obesity is generally considered a risk factor for postoperative morbidity following open gastrectomy. Body mass index (BMI) widely accepted as an indicator of obesity, but does not necessarily reflect the distribution fat. It unclear how different types fat may affect operative procedure and outcome.The relationship between area (total, visceral subcutaneous fat, BMI) early surgical outcomes (bleeding, operating time, morbidity, hospital death stay) was investigated in 135 patients who had curative gastrectomy at Cancer Institute Hospital, Tokyo, 2006.Postoperative intra-abdominal infection, which occurred 13 (9.6 per cent), correlated strongly with (P = 0.023) total 0.037) area. Visceral also 0.041) longer stay 0.001). Subcutaneous BMI did correlate these outcomes.Patients high are more likely to develop infection after Assessment area, particular should alert surgeons increased risks.