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Title: Advantage of completely laparoscopic gastrectomy with linear stapled reconstruction: a long-term follow-up study.
Authors: Okabe, Hiroshi
Obama, Kazutaka  kyouindb  KAKEN_id
Tsunoda, Shigeru  kyouindb  KAKEN_id
Tanaka, Eiji
Sakai, Yoshiharu  kyouindb  KAKEN_id
Author's alias: 岡部, 寛
Keywords: functional end-to-end anastomosis
gastric cancer
intracorporeal reconstruction
laparoscopic surgery
linear stapler
Issue Date: Jan-2014
Publisher: Lippincott Williams & Wilkins
Journal title: Annals of surgery
Volume: 259
Issue: 1
Start page: 109
End page: 116
Abstract: Background: Completely laparoscopic gastrectomy with intracorporeal anastomosis was introduced to achieve safer anastomosis and smaller scars. Although several reports have shown the feasibility of linear-stapled anastomosis, there are no studies of a large number of patients assessing the long-term complications and functional outcomes. Methods: This retrospective study included 345 patients who had intended to undergo completely laparoscopic distal or total gastrectomy with linear-stapled anastomosis between September 2005 and January 2012. This study evaluated both the short- and long-term complications, as well as the endoscopic findings, changes in body weight and serum albumin. Results: Completely laparoscopic gastrectomy was successfully achieved in 342 patients (99.1%). Short-term complications occurred in 59 patients (17.3%). Reconstruction-related complications were observed in 19 patients (5.6%). Three patients with anastomotic leakage required reoperation. No patient experienced anastomotic stenosis over a mean follow-up period of 29.6 months. Two patients underwent an emergency operation for an internal hernia after total gastrectomy. Adhesive intestinal obstruction was observed in 5 patients (1.5%), but all were resolved without surgical intervention. Body weight loss at 2 years after distal and total gastrectomy was 7.2% and 13.9%, which were similar to previous reports of open surgery. Conclusions: Completely laparoscopic gastrectomy with linear-stapled anastomosis is a feasible choice for gastric cancer patients with some potential long-term advantages such as less anastomotic stenosis and fewer adhesive intestinal obstructions.
Rights: © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins. This is a non-final version of an article published in final form in Annals of Surgery 259(1), January 2014, p 109–116.
この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。This is not the published version. Please cite only the published version.
URI: http://hdl.handle.net/2433/196937
DOI(Published Version): 10.1097/SLA.0b013e31828dfa5d
PubMed ID: 23549426
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