タイトル |
-
en
Totally laparoscopic gastrectomy for gastric cancer after endoscopic submucosal dissection : a propensity score matching analysis
|
その他のタイトル |
-
en
Totally LG for gastric cancer after ESD
|
作成者 |
|
アクセス権 |
open access |
権利情報 |
-
en
The final publication is available at link.springer.com
|
主題 |
-
Other
en
Totally laparoscopic gastrectomy
-
Other
en
Endoscopic submucosal dissection
-
Other
en
Early gastric cancer
-
NDC
490
|
内容注記 |
-
Abstract
en
Purpose: A recently developed endoscopic mucosal resection (EMR) procedure, endoscopic submucosal dissection (ESD), makes en-bloc resection possible for mucosal cancer regardless of lesion size. ESD involves deeper and wider dissection of the gastric wall, and may therefore increase the difficulty of subsequent totally laparoscopic gastrectomy (TLG) and the risk of complications. However, the influence of ESD on subsequent TLG has yet to be demonstrated. The purpose of the present study was to clarify the influence of ESD on subsequent TLG. Methods: Between March 2006 and December 2013, we retrospectively collected data of 38 patients undergoing TLG with ESD (ESD Group) and propensity score matched 38 patients undergone TLG without ESD (non-ESD Group) for treatment of gastric cancer at Tonan Hospital and Hokkaido University Hospital. The covariates for propensity score matching were: age, sex, American Society of Anesthesiologists score, body mass index, and type of surgery. Clinicopathologic characteristics and surgical outcomes were compared between the two groups. Results: Operative times for TLG in ESD group and non-ESD group were 228.2 ± 53.9 and 228.1 ± 52.7 min (P=0.989), and blood loss was 45.7 ± 83.0, 71.3 ± 74.5 g, respectively (P=0.161). There were no significant differences between the groups of ESD and non-ESD in postoperative recovery and postoperative complications. In totally laparoscopic distal gastrectomy (TLDG), the patients with ESD-resected specimens of more than 50 mm in diameter had significantly longer operative times (P=0.009). Conclusions: In this study, TLG is feasible procedure treatment of gastric cancer regardless of ESD. However, TLDG is more difficult in cases where the ESD-resected specimen is more than 50 mm in diameter.
|
出版者 |
en
Springer
|
日付 |
|
言語 |
|
資源タイプ |
journal article |
出版タイプ |
AM |
資源識別子 |
HDL
http://hdl.handle.net/2115/63709
|
関連 |
-
isVersionOf
DOI
https://doi.org/10.1007/s00423-015-1349-0
-
PMID
26476630
|
収録誌情報 |
-
-
PISSN
1435-2443
-
NCID
AA11211080
-
en
Langenbeck's Archives of Surgery
-
巻400
号8
開始ページ967
終了ページ972
|
ファイル |
|
コンテンツ更新日時 |
2023-07-26 |