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Body composition changes after totally laparoscopic distal gastrectomy with delta-shaped anastomosis: a comparison with conventional Billroth I anastomosis.

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Author(s)
Ki Bum ParkOh Kyoung KwonWansik YuByeong-Churl Jang
Keimyung Author(s)
Jang, Byeong Churl
Department
Dept. of Molecular Medicine (분자의학)
Journal Title
Surgical Endoscopy
Issued Date
2016
Volume
30
Issue
10
Keyword
Body compositionGastric cancerDelta-shaped anastomosisLaparoscopic surgery
Abstract
Background; The purpose of this study was to compare
body composition changes of patients undergoing totally
laparoscopic distal gastrectomy (TLDG) with delta-shaped
anastomosis (DSA) versus conventional laparoscopic distal
gastrectomy (CLDG).
Methods; Data from gastric cancer patients who underwent
laparoscopic distal gastrectomy for histologically
proven gastric cancer in KNUMC from January 2013 to
May 2014 were collected and reviewed. We examined 85
consecutive patients undergoing TLDG or CLDG: 41
patients underwent TLDG and 44 patients underwent
CLDG. Body composition was assessed by segmental
multifrequency bioelectrical impedance analysis. We
compared the changes in nutritional parameters and body
composition from preoperative status between the two
groups at postoperative 6 and 12 months.
Results; All of the postoperative changes in the body
composition and nutritional indices were similar between
the two groups with the exception of visceral fat areas
(VFAs) and albumin levels. VFAs increased at 6 months
postoperatively in the TLDG group and a significant difference
was shown at 12 months postoperatively between
the TLDG and CLDG groups (86.7 ± 22.8 and
74.7 ± 21.9 cm2, respectively, P\0.05). Postoperative
albumin levels were higher in the TLDG group with
statistical significance at 6 and 12 months after surgery
(6 months, P = 0.028; 12 months, P = 0.012).
Conclusions ;The influence of TLDG with DSA on
nutrition and body composition seemed comparable to
those of CLDG. Six months postoperatively, VFAs and
albumin levels were recovered in the TLDG group but not
in the CLDG group. Thus, TLDG seems to be a novel
surgical method.
Keimyung Author(s)(Kor)
장병철
Publisher
School of Medicine
Citation
Ki Bum Park et al. (2016). Body composition changes after totally laparoscopic distal gastrectomy with delta-shaped anastomosis: a comparison with conventional Billroth I anastomosis. Surgical Endoscopy, 30(10), 4286–4293. doi: 10.1007/s00464-016-4744-x
Type
Article
ISSN
0930-2794
Source
https://link.springer.com/article/10.1007%2Fs00464-016-4744-x
DOI
10.1007/s00464-016-4744-x
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32855
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Molecular Medicine (분자의학)
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