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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.40.3700fbacde-dced-4ecb-ae8c-2cf1f4a3204f
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||||||||||||||||||||
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公開日 | 2019-07-31 | |||||||||||||||||||||||
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タイトル | Clinical evaluation of laparoscopy-assisted distal gastrectomy for early gastric cancer | |||||||||||||||||||||||
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言語 | eng | |||||||||||||||||||||||
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主題Scheme | Other | |||||||||||||||||||||||
主題 | Laparoscopy-assisted distal gastrectomy | |||||||||||||||||||||||
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主題Scheme | Other | |||||||||||||||||||||||
主題 | Gastric cancer | |||||||||||||||||||||||
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主題Scheme | Other | |||||||||||||||||||||||
主題 | Lymph node | |||||||||||||||||||||||
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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
× Shibuya, Hitoshi
× Sasaki, Kenichi
× Takashima, Ken
× Sato, Yasushi
× Arimura, Yoshiaki
× Takayama, Tetsuji
× Niitsu, Yoshiro
× Hirata, Koichi
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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 |
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収録物識別子タイプ | ISSN | |||||||||||||||||||||||
収録物識別子 | 0041-4093 | |||||||||||||||||||||||
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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 |