title: Surgical complications and the risk factors of totally laparoscopic distal gastrectomy.
abstract: OBJECTIVE
  It has not yet been elucidated whether there are specific complications associated with totally laparoscopic distal gastrectomy (TLDG). We evaluated the complications and the risk factors associated with TLDG.
  
  
  METHODS
  A retrospective analysis was performed on 138 consecutive patients who underwent TLDG. The clinical and operative data, which included the body mass index, respiratory function, hematological data, pathological data, and the experience of surgeon, were analyzed.
  
  
  RESULTS
  Intraoperative and postoperative complications developed in 10 and 28 patients, respectively. A univariate analysis determined that the patient age, concurrent respiratory disease, and operation time were important risk factors. A multivariate analysis found no significant risk factors in this set, although the operation time was the most promising risk factor.
  
  
  CONCLUSIONS
  The present data suggest that TLDG can be performed with acceptable perioperative complication rates, although a longer operation time may cause a higher frequency of postoperative complications.
authors.affiliation: Department of Gastroenterological Surgery, National Kyushu Cancer Center, Nodame, Minami-ku, Japan. okieiji@surg2.med.kyushu-u.ac.jp
authors.forename: Eiji
authors.initials: E
authors.lastname: Oki
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Sakaguchi
authors.forename: Kippei
authors.initials: K
authors.lastname: Ohgaki
authors.forename: Kazuhito
authors.initials: K
authors.lastname: Minami
authors.forename: Sakamoto
authors.initials: S
authors.lastname: Yasuo
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Akimoto
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Toh
authors.forename: Testuya
authors.initials: T
authors.lastname: Kusumoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okamura
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D019160:Endosonography; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology* / Q000209:etiology; D007564:Japan / Q000453:epidemiology; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed