Should pylorus-preserving gastrectomy be performed for overweight/obese patients with gastric cancer?

摘要: Pylorus-preserving gastrectomy is an alternative to distal for early gastric cancer, and expected have postoperative advantages including maintenance of body weight. Overweight/obesity a risk factor chronic disorders, hypertension diabetes mellitus; in these conditions, weight control frequently required as part treatment. It remains unknown whether pylorus-preserving should be performed overweight/obese patients because excess may maintained postoperatively. We retrospectively investigated changes nutritional status who underwent laparoscopic (LDG) or (LPPG) between 2006 2015. Among 349 overweight (BMI ≥ 25 kg/m2), 101 LDG LPPG cases were compared after propensity score matching adjust patient characteristics. The mean relative ratios (postoperative/preoperative ratios) 87.5 ± 8.0% 89.6 ± 6.7% (difference not significant, p = 0.088). prealbumin level at 2 years hemoglobin levels 6 months, 1 year significantly well than LDG. Prealbumin had almost returned baseline the group. superiority was confirmed regardless reconstruction methods For patients, resulted similar degrees loss, with achieving near-ideal confirmed. seemed better even meet indication criteria.