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目的:探讨肥胖及腹型肥胖对于胃癌病人短期手术结局的影响。方法:回顾性收集经腹胃切除+D2淋巴结清扫术的226例胃癌病人临床资料。手术前分别测量身高、体重和腰围,根据体质量指数(BMI),将病人分为非肥胖组、超重组和肥胖组;根据腰围,将病人分为非腹型肥胖组、腹型肥胖组。比较各组病人术中出血量、手术时间、术后住院天数、术后胃周淋巴结检出数及术后并发症。结果:非肥胖组、超重组、肥胖组3组间的平均手术时间(P=0.451)、平均术中出血量(P=0.949)、平均术后住院天数(P=0.745)、平均总淋巴结检出数(P=0.165)无统计学差异。非腹型肥胖组与腹型肥胖组间的手术时间(P=0.886)、平均术中出血量(P=0.596),平均术后住院天数(P=0.555)、平均总淋巴结检出数(P=0.209)亦无统计学差异。术后27例发生早期并发症,发生率为12.3%,其在BMI非肥胖组、超重组、肥胖组(P=0.394)间及非腹型肥胖组、腹型肥胖组(P=0.846)间均无统计学差异。结论:BMI及腰围不影响胃癌病人的手术时间、出血量、住院天数、淋巴结检出数及早期术后并发症。
Objective: To investigate the effect of obesity and abdominal obesity on short-term surgical outcomes in patients with gastric cancer. Methods: The clinical data of 226 gastric cancer patients who undergone abdominal gastrostomy and D2 lymph node dissection were retrospectively collected. The patients were divided into non-obese group, overweight group and obesity group according to body mass index (BMI). The patients were divided into non-abdominal obesity group and abdominal obesity group according to waist circumference. The blood loss, operation time, postoperative hospital stay, number of postoperative gastric lymph nodes and postoperative complications were compared between groups. Results: The mean operative time (P = 0.451), average intraoperative blood loss (P = 0.949), average postoperative hospital stay (P = 0.745), average total lymph node count Out of the number (P = 0.165) no significant difference. The average operative time (P = 0.886), average intraoperative blood loss (P = 0.596), average postoperative hospital stay (P = 0.555), average total lymph node count (P = 0.209) nor statistical difference. Early postoperative complications occurred in 27 cases, with an incidence rate of 12.3%. There was a significant difference between the BMI non-obese group, the overweight group, the obesity group (P = 0.394), the non-abdominal obesity group and the abdominal obesity group (P = 0.846) No statistical difference. Conclusion: BMI and waist circumference do not affect the operation time, bleeding volume, days of hospitalization, number of lymph nodes and early postoperative complications in patients with gastric cancer.