Clinical factors affecting the length of minilaparotomy incision in laparoscopy-assisted distal gastrectomy.
This study investigated the factors affecting the length of the minilaparotomy incision (LOMI) in laparoscopy-assisted distal gastrectomy with Billroth I reconstruction. By using abdominal computed tomography scans, we measured the thickness of the rectus muscle (TRM), the thickness of the abdominal wall (TAW), and the distance from the gastroduodenal artery to the skin (GDAS) in 80 patients with early gastric cancer who had undergone surgery. There were positive correlations between the LOMI and body mass index (BMI), TRM, and TAW, and the LOMI increased significantly in patients with BMI > or =25 kg/m2, TAW > or =2.1 cm, and TRM > or =1.0 cm. These observations suggest that patients with two or more of the following clinical factors, BMI > or =25 kg/m2, TAW > or =2.1 cm, and TRM > or =1.0 cm, may require surgical procedures other than laparoscopy-assisted Billroth I, such as total laparoscopic intracorporeal Billroth I, Billroth II, or uncut Roux-en-Y reconstruction.
Jeong
Sang-Ho
SH
Department of Surgery, Gyeongsang National University Hospital, Jinju, South Korea.
Lee
Young-Joon
YJ
Bae
Kyungsoo
K
Ha
Woo-Song
WS
Park
Soon-Tae
ST
Choi
Sang-Kyung
SK
Hong
Soon-Chan
SC
Jung
Eun-Jung
EJ
Joo
Young-Tae
YT
Jeong
Chi-Young
CY