Laparoscopy-assisted pancreas- and spleen-preserving total gastrectomy for gastric cancer as compared with open total gastrectomy
| Autor: | Natsuya Katada, Kazuya Hirai, Keishi Yamashita, Shinichi Sakuramoto, Shiro Kikuchi, Hiromitsu Moriya, Masahiko Watanabe, Nobue Futawatari |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Anastomosis Risk Assessment Gastroenterology Cohort Studies Postoperative Complications Gastrectomy Stomach Neoplasms Internal medicine Gastroscopy medicine Humans Neoplasm Invasiveness Stomach cancer Laparoscopy Pancreas Lymph node Neoplasm Staging Retrospective Studies Laparotomy Chi-Square Distribution medicine.diagnostic_test business.industry Stomach Anastomosis Surgical Middle Aged Hepatology medicine.disease Survival Analysis Surgery Treatment Outcome medicine.anatomical_structure Lymph Node Excision Female Lymph Nodes Neoplasm Recurrence Local business Spleen Follow-Up Studies Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 23:2416-2423 |
| ISSN: | 1432-2218 0930-2794 |
| DOI: | 10.1007/s00464-009-0371-0 |
| Popis: | Laparoscopy-assisted total gastrectomy (LATG) is not widely used for the treatment of gastric cancer located in the upper or middle third of the stomach. To assess the safety and usefulness of LATG, we compared the outcomes of LATG with those of open total gastrectomy (OTG). From July 2004 to July 2007, we performed pancreas- and spleen-preserving total gastrectomy with D1 + β or D2 lymph-node dissection and Roux-en-Y reconstruction in 74 patients with cancer located in the upper or middle third of the stomach. Of these patients, 30 underwent LATG (LATG group) and 44 underwent OTG (OTG group). Short-term outcomes were compared between the groups. Operation time was significantly longer in the LATG group than in the OTG group (313 min vs. 218 min, p |
| Databáze: | OpenAIRE |
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