A Hand-assisted Laparoscopic Distal Gastrectomy Can Be an Effective Way in Obese Patients

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Objective:To evaluate the feasibility and safety of hand-assisted laparoscopic surgery for gastric cancer in obese patients, we compared the operative outcomes between obese and nonobese patients.Methods:A total of 114 patients suffering from gastric cancer operated in our department from October 2009 to February 2012 were divided into 2 groups: the obese patients group and the nonobese patients group.Results:Wound length, times of analgesic injection, time to the first flatus, postoperative hospital stay, tumor size, retrieved lymph nodes, AJCC/UICC staging, and resection margins were equivalent between the 2 groups. The estimated blood loss and operative time were significantly less or shorter in the nonobese patients group than in the obese patients group.Conclusions:Obesity should not be seen as a contraindication for hand-assisted laparoscopic distal gastrectomy, which is a safe and feasible procedure for obese patients.

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