TY - JOUR T1 - A Comparison of the Body Composition Changes Between Laparoscopy-assisted and Open Total Gastrectomy for Gastric Cancer JF - In Vivo JO - In Vivo SP - 1513 LP - 1518 DO - 10.21873/invivo.11408 VL - 32 IS - 6 AU - TORU AOYAMA AU - TAKAKI YOSHIKAWA AU - YUKIO MAEZAWA AU - KAZUKI KANO AU - KENTARO HARA AU - TSUTOMU SATO AU - TSUTOMU HAYASHI AU - TAKANOBU YAMADA AU - HARUHIKO CHO AU - TAKASHI OGATA AU - HIROSHI TAMAGAWA AU - NORIO YUKAWA AU - YASUSHI RINO AU - MUNETAKA MASUDA AU - TAKASHI OSHIMA Y1 - 2018/11/01 UR - http://iv.iiarjournals.org/content/32/6/1513.abstract N2 - Background/Aim: Laparoscopy-assisted total gastrectomy (LATG) for gastric cancer may prevent the loss of body weight or lean body mass after surgery due to its reduced surgical stress compared with open total gastrectomy (OTG). Patients and Methods: A total of 303 patients were examined in this study. All patients received the same perioperative care via fast-track surgery. The body weight and composition were evaluated using a bioelectrical impedance analyzer within 1 week before and at 1 week, 1 month, and 3 months after surgery. Results: Two hundred and eight patients received OTG, and 95 received LATG. Although the clinical T factor and N factor were significantly different between these two groups, other clinical factors were similar. The respective body weight loss (1 week/1 month/3 months) was -4.7%/-8.0%/-11.9% in the OTG group and -4.7%/-8.2%/-11.6% in the LATG group, that were not significantly different between the two groups at any time point of measurement (p=0.698/0.528/0.534, respectively). The respective lean body mass loss (1 week/1 month/3 months) was -4.2%/-6.4%/-7.4% in the OTG group and -4.0%/-5.8%/-6.2% in the LATG group, that were not significantly different between the groups (p=0.503/0.588/0.946, respectively). Conclusion: The body composition changes were similar between the OTG and LATG groups using the same perioperative care of fast-track surgery. Adopting a laparoscopic approach would not help in reducing loss of body weight or lean body mass after gastric cancer surgery. ER -