Abstract
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.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Strauss RJ, Wise L (1978) Operative risks of obesity. Surg Gynecol Obstet 146:286–291
Postlethwait RW, Johnson WD (1972) Complications following surgery for duodenal ulcer in obese patients. Arch Surg 105:438–440
Foley K, Lee RB (1990) Surgical complications of obese patients with endometrial carcinoma. Gynecol Oncol 39:171–174
Tokunaga K, Matsuzawa Y, Kotani K, Keno Y, Kobatake T, Fujioka S, Tarui S (1991) Ideal body weight estimated from the body mass index with the lowest morbidity. Int J Obes 15:1–5
Japanese Research Society for Gastric Cancer (1981) The general rules for the gastric cancer study in surgery and pathology. Part I. Clinical classification. Jpn J Surg 11:127–139
The Japanese Research Society Committee on Histological Classification of Gastric Cancer (1981) The general rules for the gastric cancer study in surgery and pathology. Part II. Histological classification of gastric cancer. Jpn J Surg 11:140–145
Chapman GW Jr, Mailhes JB, Thompson HE (1988) Morbidity in obese and nonobese patients following gynecologic surgery for cancer. J Natl Med Assoc 80:417–420
Soisson AP, Soper JT, Berchuck A, Dodge R, Pearson DC (1992) Radical hysterectomy in obese women. Obstet Gynecol 80:940–943
Nystroem PO, Jonstam A, Hoejer H, Ling L (1987) Incisional infection after colorectal surgery in obese patients. Acta Chir Scand 153:225–227
Garrow JS, Hastings EJ, Cox AG, North WRS, Gibson M, Thomas TM, Meade TW (1988) Obesity and postoperative complications of abdominal operation. Br Med J 297:181
Abe R, Kumagai N, Kimura M, Hirosaki A, Nakamura T (1976) Biological characteristics of breast cancer in obesity. Tohoku J Exp Med 120:351–359
Daniell HW (1988) Increased lymph node metastases at mastectomy for breast cancer associated with host obesity, cigarette smoking, age, and large tumor size. Cancer 62:429–435
Verreault R, Brisson J, Deschenes L, Naud F (1989) Body weight and prognostic indicators in breast cancer. Modifying effect of estrogen receptors. Am J Epidemiol 129:260–268
Yu ML, Asal NR, Geyer JR (1991) Later recurrence and longer survival among obese patients with renal cell carcinoma. Cancer 68:1648–1655
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Adachi, W., Kobayashi, M., Koike, S. et al. The influence of excess body weight on the surgical treatment of patients with gastric cancer. Surg Today 25, 939–945 (1995). https://doi.org/10.1007/BF00312377
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00312377