一覧に戻る

タイトル
  • en Laparoscopic proximal gastrectomy with oblique jejunogastrostomy
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 Proximal gastrectomy
  • Other en Double-tract reconstruction
  • Other en Gastric cancer
  • Other en Laparoscopic surgery
  • NDC 490
内容注記
  • Abstract en Background: Proximal early gastric cancer is a good indication for totally laparoscopic proximal gastrectomy (TLPG) with double-tract reconstruction (DTR). However, when most of the dietary intake passes through the escape route of the jejunum, the functional benefits of proximal gastrectomy might be similar to those after total gastrectomy. Our DTR procedure was improved for easy passage through the remnant stomach. The purposes of this study were to present a novel technique for intracorporeal DTR using linear staplers after TLPG and to investigate surgical outcomes. Methods: DTR was performed using linear staplers only. A side-to-side jejunogastrostomy with twisting of both the remnant stomach and the anal jejunum was performed for the purpose of passing meals through the remnant stomach (an oblique jejunogastrostomy technique). The ten patients who underwent TLPG with DTR from January 2011 to August 2016 in Hokkaido University Hospital were retrospectively reviewed. Their clinicopathological characteristics and surgical and postoperative outcomes were collected and analyzed. Results: The median duration of operation was 285 (range 146-440) min. No patients required blood transfusions. The number of dissected lymph nodes was 32 (range 22-56). There were no intraoperative complications, and no cases were converted to open surgery. All the patients were pT1N0M0 stage IA. No anastomotic leakage or complications were detected. Postoperative gastrography after reconstruction showed that contrast medium flowed mainly to the remnant stomach. The average percentage body weight loss was 14.0 +/- 7.1% at 10 months. The average percentage decrease in serum hemoglobin was 5.4 +/- 10.4% at 12 months. Conclusions: This novel technique for intracorporeal DTR provided a considerable advantage by the passage of dietary intake to the remnant stomach after LPG.
出版者 en Springer
日付
    Issued2017-09
言語
  • eng
資源タイプ journal article
出版タイプ AM
資源識別子 HDL http://hdl.handle.net/2115/71398
関連
  • isVersionOf DOI https://doi.org/10.1007/s00423-017-1587-4
  • PMID 28493146
収録誌情報
    • PISSN 1435-2443
      • en Langenbeck's archives of surgery
      • 402 6 開始ページ995 終了ページ1002
ファイル
コンテンツ更新日時 2023-07-26