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DCフィールド | 値 | 言語 |
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dc.contributor.author | Okabe, Hiroshi | en |
dc.contributor.author | Obama, Kazutaka | en |
dc.contributor.author | Tsunoda, Shigeru | en |
dc.contributor.author | Tanaka, Eiji | en |
dc.contributor.author | Sakai, Yoshiharu | en |
dc.contributor.alternative | 岡部, 寛 | ja |
dc.date.accessioned | 2015-04-09T03:05:30Z | - |
dc.date.available | 2015-04-09T03:05:30Z | - |
dc.date.issued | 2014-01 | - |
dc.identifier.issn | 0003-4932 | - |
dc.identifier.uri | http://hdl.handle.net/2433/196937 | - |
dc.description.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. | en |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Lippincott Williams & Wilkins | en |
dc.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. | en |
dc.rights | 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。 | ja |
dc.rights | This is not the published version. Please cite only the published version. | en |
dc.subject | functional end-to-end anastomosis | en |
dc.subject | gastric cancer | en |
dc.subject | intracorporeal reconstruction | en |
dc.subject | laparoscopic surgery | en |
dc.subject | linear stapler | en |
dc.subject.mesh | Adenocarcinoma/surgery | en |
dc.subject.mesh | Adult | en |
dc.subject.mesh | Aged | en |
dc.subject.mesh | Aged, 80 and over | en |
dc.subject.mesh | Female | en |
dc.subject.mesh | Follow-Up Studies | en |
dc.subject.mesh | Gastrectomy/adverse effects | en |
dc.subject.mesh | Gastrectomy/methods | en |
dc.subject.mesh | Humans | en |
dc.subject.mesh | Laparoscopy/adverse effects | en |
dc.subject.mesh | Male | en |
dc.subject.mesh | Middle Aged | en |
dc.subject.mesh | Nutritional Status | en |
dc.subject.mesh | Retrospective Studies | en |
dc.subject.mesh | Stomach Neoplasms/surgery | en |
dc.subject.mesh | Surgical Stapling/adverse effects | en |
dc.subject.mesh | Treatment Outcome | en |
dc.title | Advantage of completely laparoscopic gastrectomy with linear stapled reconstruction: a long-term follow-up study. | en |
dc.type | journal article | - |
dc.type.niitype | Journal Article | - |
dc.identifier.ncid | AA00533198 | - |
dc.identifier.jtitle | Annals of surgery | en |
dc.identifier.volume | 259 | - |
dc.identifier.issue | 1 | - |
dc.identifier.spage | 109 | - |
dc.identifier.epage | 116 | - |
dc.relation.doi | 10.1097/SLA.0b013e31828dfa5d | - |
dc.textversion | author | - |
dc.identifier.pmid | 23549426 | - |
dcterms.accessRights | open access | - |
出現コレクション: | 学術雑誌掲載論文等 |
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