タイトル |
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en
Laparoscopic proximal gastrectomy with oblique jejunogastrostomy
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作成者 |
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アクセス権 |
open access |
権利情報 |
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en
The final publication is available at link.springer.com
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主題 |
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Other
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Proximal gastrectomy
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Other
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Double-tract reconstruction
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Other
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Gastric cancer
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Other
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Laparoscopic surgery
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NDC
490
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内容注記 |
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Abstract
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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.
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出版者 |
en
Springer
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日付 |
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言語 |
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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
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関連 |
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isVersionOf
DOI
https://doi.org/10.1007/s00423-017-1587-4
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PMID
28493146
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収録誌情報 |
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en
Langenbeck's archives of surgery
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巻402
号6
開始ページ995
終了ページ1002
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ファイル |
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コンテンツ更新日時 |
2023-07-26 |