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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 162 - 169 (8page)
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Purpose: Roux-en-Y reconstruction (RY) in laparoscopic distal gastrectomy for gastric cancer is a more complicated procedure than Billroth-I (BI) or Billroth-II. Here, we offer a totally laparoscopic simple RY using linear staplers. Materials and Methods: Each 50 consecutive patients with totally laparoscopic distal gastrectomy with RY and BI were enrolled in this study. Technical safety and surgical outcomes of RY were evaluated in comparison with BI. Results: In all patients, RY gastrectomy using linear staplers was safely performed without any events during surgery. The mean operation time and anastomosis time were 177.0±37.6 min and 14.4±5.6 min for RY, respectively, which were significantly longer than those for BI (150.4±34.0 min and 5.9±2.2 min, respectively). There were no differences in amount of blood loss, time to flatus passage, diet start, length of hospital stay, and postoperative inflammatory response between the two groups. Although there was no significant difference in surgical complications between RY and BI (6.0% and 14.0%), the RY group showed no anastomosis site-related complications. Conclusion: The double stapling method using linear staplers in totally laparoscopic RY reconstruction is a simple and safe procedure.
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참고문헌 (19)
참고문헌 신청
Bouras G / 2011 / Surgical outcomes from laparoscopic distal gastrectomy and Roux-en-Y reconstruction: evolution in a totally intracorporeal technique / Surg Laparosc Endosc
Clavien PA / 2009 / The Clavien-Dindo classification of surgical complications: five-year experience / Ann Surg 250 : 187 ~ 196
Edge SB / 2010 / AJCC Cancer Staging Handbook. 7th ed / Springer
Fujita T / 2010 / Short-term outcomes of Roux-en-Y stapled anastomosis after distal gastrectomy for gastric adenocarcinoma / J Gastrointest Surg 14 : 289 ~ 294
Fukuhara K / 2002 / Reconstructive procedure after distal gastrectomy for gastric cancer that best prevents duodenogastroesophageal reflux / World J Surg 26 : 1452 ~ 1457
Clavien PA / 2009 / The Clavien-Dindo classification of surgical complications: five-year experience / Ann Surg 250 : 187 ~ 196
Edge SB / 2010 / AJCC Cancer Staging Handbook. 7th ed / Springer
Fujita T / 2010 / Short-term outcomes of Roux-en-Y stapled anastomosis after distal gastrectomy for gastric adenocarcinoma / J Gastrointest Surg 14 : 289 ~ 294
Fukuhara K / 2002 / Reconstructive procedure after distal gastrectomy for gastric cancer that best prevents duodenogastroesophageal reflux / World J Surg 26 : 1452 ~ 1457
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