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  1. 紀要
  2. Tumor Research
  3. Vol.40

Clinical evaluation of laparoscopy-assisted distal gastrectomy for early gastric cancer

https://doi.org/10.15114/tr.40.37
https://doi.org/10.15114/tr.40.37
00fbacde-dced-4ecb-ae8c-2cf1f4a3204f
名前 / ファイル ライセンス アクション
n0041409340137.pdf n0041409340137.pdf (154.7 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-07-31
タイトル
タイトル Clinical evaluation of laparoscopy-assisted distal gastrectomy for early gastric cancer
言語
言語 eng
キーワード
主題Scheme Other
主題 Laparoscopy-assisted distal gastrectomy
キーワード
主題Scheme Other
主題 Gastric cancer
キーワード
主題Scheme Other
主題 Lymph node
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
ID登録
ID登録 10.15114/tr.40.37
ID登録タイプ JaLC
著者 Yamaguchi, Koji

× Yamaguchi, Koji

Yamaguchi, Koji

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Shibuya, Hitoshi

× Shibuya, Hitoshi

Shibuya, Hitoshi

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Sasaki, Kenichi

× Sasaki, Kenichi

Sasaki, Kenichi

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Takashima, Ken

× Takashima, Ken

Takashima, Ken

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Sato, Yasushi

× Sato, Yasushi

Sato, Yasushi

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Arimura, Yoshiaki

× Arimura, Yoshiaki

Arimura, Yoshiaki

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Takayama, Tetsuji

× Takayama, Tetsuji

Takayama, Tetsuji

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Niitsu, Yoshiro

× Niitsu, Yoshiro

Niitsu, Yoshiro

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Hirata, Koichi

× Hirata, Koichi

Hirata, Koichi

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抄録
内容記述タイプ Abstract
内容記述 Recently, laparoscopic surgery has gained rapid acceptance on clinical grounds, and its range of application has expanded. Since laparoscopy-assisted distal gastrectomy (LADG) was first reported in 1994, most gastrointestinal surgeons have become highly interested in this surgical procedure for early gastric cancer. To evaluate short-term surgical validity in patients with early gastric cancer located in the middle or lower part of the stomach, surgical outcome of the LADG with extraperigastric lymph node dissection was compared with open distal gastrectomy (ODG). Between October 2000 and November 2004, LADG with lymph node dissection was performed on 44 patients, and ODG on 59. There were no statistical differences between the two groups in sex, age, body mass index (BMI), and concurrent illness. The mean operation time was 246賊42 min in the LADG group and 253賊46 min in the ODG group, but the amount of blood loss (125賊101 g) in the LADG group was significantly less than that (243賊128 g) in the ODG group. The results of pathological findings of resected specimens showed no differences between these groups in terms of the number of lymph nodes retrieved. Postoperative recovery was faster in the LADG group than in the ODG group, as reflected by a shorter hospital stay (19.9賊8.2 vs 24.8賊6.8: p<0.05). There were no operative deaths or hospital deaths in any of the patients. Laparoscopic surgery is currently the gold standard because it is a minimally invasive procedure, less painful, and it allows quicker recoveries. Our results confirmed that LADG accompanied with either D1 + 留 or D1 + 硫 lymph node dissection is appropriate in terms of safety and as a cure. LADG is recommended as a preferable alternative to ODG for patients with early gastric cancer.
書誌情報 Tumor Research
en : Tumor Research

巻 40, p. 37-45, 発行日 2005
ISSN
収録物識別子タイプ ISSN
収録物識別子 0041-4093
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
出版者
出版者 Sapporo Medical University
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