• Complex
  • Title
  • Keyword
  • Abstract
  • Scholars
  • Journal
  • ISSN
  • Conference
成果搜索

author:

Wei, Ling-Hua (Wei, Ling-Hua.) [1] | Zheng, Hua-Long (Zheng, Hua-Long.) [2] | Liu, Zhi-Yu (Liu, Zhi-Yu.) [3] | Du, Xiao-Qiang (Du, Xiao-Qiang.) [4] | Chen, Chun-Sen (Chen, Chun-Sen.) [5] | Xu, Bin-Bin (Xu, Bin-Bin.) [6] | Zheng, Hong-Hong (Zheng, Hong-Hong.) [7] | Lin, Guang-Tan (Lin, Guang-Tan.) [8] | Xie, Jian-Wei (Xie, Jian-Wei.) [9] | Zheng, Chao-Hui (Zheng, Chao-Hui.) [10] | Wang, Jia-Bin (Wang, Jia-Bin.) [11] | Huang, Chang-Ming (Huang, Chang-Ming.) [12] | Li, Ping (Li, Ping.) [13]

Indexed by:

SCIE

Abstract:

Background Visceral obesity has been increasingly recognized as a potential risk factor for surgical complications in gastric cancer surgery, yet its impact on lymphadenectomy during laparoscopic gastrectomy remains undefined. This study aimed to investigate the influence of visceral fat area (VFA) on intraoperative adverse events (iAEs) during lymphadenectomy in laparoscopic gastrectomy. Methods A post hoc analysis was performed using data from two previous prospective studies ([NCT02327481] and [NCT01609309]). The patients were divided into high and low VFA groups based on preoperative computed tomography images at the umbilical level. All iAEs were reviewed from the surgical videos and graded using ClassIntra. The factors influencing iAEs were identified, and predictive models for iAEs were constructed. Results This study included 490 patients, with 244 and 246 patients in the high and low VFA groups, respectively. Restricted cubic splines demonstrated a positive linear association between VFA and iAEs. Compared with the low VFA group, the high VFA group exhibited a significantly higher incidence of iAEs (29% vs. 12%, p < 0.001), primarily in the infrapyloric (9.0% vs. 2.0%) and suprapancreatic (23.4% vs. 9.3%) regions and higher rates of ClassIntra I-III. Multivariate logistic regression identified high VFA as an independent risk factor for iAEs (hazard ratio [HR] 2.16, 95% confidence interval [CI]: 1.22 - 3.83). Based on the VFA, nomograms were developed to predict iAEs (training area under the curve [AUC] 0.722, validation AUC 0.730). Meanwhile, a web-based calculator was developed to facilitate clinical application. Conclusions High preoperative VFA is independently correlated with iAEs after laparoscopic gastrectomy for gastric cancer. Nomograms based on VFA showed potential in predicting iAEs, helping identify high-risk patients early and facilitating tailored perioperative management.

Keyword:

Gastric cancer Intraoperative adverse events Laparoscopic surgery Visceral fat area

Community:

  • [ 1 ] [Wei, Ling-Hua]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 2 ] [Zheng, Hua-Long]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 3 ] [Liu, Zhi-Yu]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 4 ] [Xu, Bin-Bin]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 5 ] [Zheng, Hong-Hong]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 6 ] [Lin, Guang-Tan]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 7 ] [Xie, Jian-Wei]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 8 ] [Zheng, Chao-Hui]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 9 ] [Wang, Jia-Bin]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 10 ] [Huang, Chang-Ming]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 11 ] [Li, Ping]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China
  • [ 12 ] [Wei, Ling-Hua]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 13 ] [Zheng, Hua-Long]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 14 ] [Liu, Zhi-Yu]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 15 ] [Xu, Bin-Bin]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 16 ] [Zheng, Hong-Hong]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 17 ] [Lin, Guang-Tan]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 18 ] [Xie, Jian-Wei]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 19 ] [Zheng, Chao-Hui]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 20 ] [Wang, Jia-Bin]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 21 ] [Huang, Chang-Ming]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 22 ] [Li, Ping]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China
  • [ 23 ] [Zheng, Hua-Long]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China
  • [ 24 ] [Xie, Jian-Wei]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China
  • [ 25 ] [Zheng, Chao-Hui]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China
  • [ 26 ] [Wang, Jia-Bin]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China
  • [ 27 ] [Huang, Chang-Ming]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China
  • [ 28 ] [Li, Ping]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China
  • [ 29 ] [Du, Xiao-Qiang]Fujian Med Univ, Union Hosp, Dept Radiol, Fuzhou 350001, Peoples R China
  • [ 30 ] [Chen, Chun-Sen]Fujian Med Univ, Union Hosp, Dept Radiol, Fuzhou 350001, Peoples R China
  • [ 31 ] [Xu, Bin-Bin]Fuzhou Univ, Fujian Prov Hosp, Dept digest endoscopy, Affiliated Prov Hosp, Fuzhou 350001, Peoples R China

Reprint 's Address:

  • [Wang, Jia-Bin]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China;;[Huang, Chang-Ming]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China;;[Li, Ping]Fujian Med Univ, Dept Gastr Surg, Union Hosp, 29 Xinquan Rd, Fuzhou 350001, Peoples R China;;[Wang, Jia-Bin]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China;;[Huang, Chang-Ming]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China;;[Li, Ping]Fujian Med Univ, Union Hosp, Dept Gen Surg, Fuzhou 350001, Peoples R China;;[Wang, Jia-Bin]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China;;[Huang, Chang-Ming]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China;;[Li, Ping]Fujian Med Univ, Key Lab, Minist Educ Gastrointestinal Canc, Fuzhou 350001, Peoples R China

Show more details

Related Keywords:

Source :

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES

ISSN: 0930-2794

Year: 2025

Issue: 4

Volume: 39

Page: 2275-2287

2 . 4 0 0

JCR@2023

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 3

Affiliated Colleges:

Online/Total:282/9779500
Address:FZU Library(No.2 Xuyuan Road, Fuzhou, Fujian, PRC Post Code:350116) Contact Us:0591-22865326
Copyright:FZU Library Technical Support:Beijing Aegean Software Co., Ltd. 闽ICP备05005463号-1