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Title of Journal: Surg Endosc

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Abbravation: Surgical Endoscopy

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Springer-Verlag

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DOI

10.1007/bf01378111

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1432-2218

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A totally laparoscopic distal gastrectomy with gas

Authors: Min Gyu Kim Hironori Kawada Beom Su Kim Tae Hwan Kim Kap Choong Kim Jeong Hwan Yook Byung Sik Kim
Publish Date: 2010/09/11
Volume: 25, Issue: 4, Pages: 1076-1082
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Abstract

We retrospectively analyzed early surgical outcomes in 567 patients who underwent laparoscopic gastrectomy for gastric cancer between January 2009 and March 2010 The patients were divided into those with underwent TLDG and those with underwent LADG Their surgical outcomes were analyzed according to the WHO Asia–Pacific Obesity classificationIn overall patients TLDG showed the significant results of early surgical outcomes But more importantly in the analysis of early surgical outcomes for obese patients we found that TLDG could improve overall complication rate p = 0031 time to first flatus p = 0009 time to commencement of soft diet p  0001 administration of analgesics p = 0019 pain score Numeric Rating Scale NRS and hospital discharge p = 0003We suggested that TLDG contributes to the improvement of early surgical outcomes We further suggest that TLDG in obese patients could be the best way to improve early surgical outcomes including the bowel movement pain score overall complication rate and hospital discharge

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