THE INFLUENCE OF EXCESS BODY-WEIGHT ON THE SURGICAL-TREATMENT OF PATIENTS WITH GASTRIC-CANCER

被引：17

作者：

ADACHI, W

KOBAYASHI, M

KOIKE, S

RAFIQUE, M

NIMURA, Y

KURODA, T

IIDA, F

机构：

[1] Department of Surgery, Shinshu University School of Medicine, Nagano, 390, 3-1-1 Asahi, Matsumoto

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1995年 / 25卷 / 11期

关键词：

GASTRIC CANCER; LYMPH NODE DISSECTION; EXCESS BODY WEIGHT; OBESITY;

D O I：

10.1007/BF00312377

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Sixty-two overweight gastric cancer patients were compared with 201 normal-weight patients to clarify the influences of excessive weight on the surgical treatment of gastric cancer, The frequencies of hypertension and diabetes mellitus were significantly higher in the overweight group (P < 0.01), but no pathologic differences in the resected tumor were found between the two groups, The operative times were longer (P < 0.01) and the number of lymph nodes extirpated and examined was smaller (P < 0.01) in the overweight group. The incidence of postoperative complications was not higher in the overweight group. The postoperative survival rate of patients with nodal metastasis was statistically lower in the overweight group (P < 0.05). Regarding the causes of death in patients with nodal metastasis, 61.1% of overweight patients and 43.8% of normal-weight patients died of recurrence of gastric cancer, In conclusion, surgical treatment of overweight patients with gastric cancer was found to be technically more difficult and the prognosis of such patients with nodal metastasis may thus be worse than that of their normal-weight counterparts.

引用

页码：939 / 945

页数：7

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