| Title: | Evaluation of the delta-shaped anastomosis in laparoscopic distal gastrectomy: midterm results of a comparison with Roux-en-Y anastomosis |
| Authors: | Kitagami, Hidehiko Browse this author |
| Morimoto, Mamoru Browse this author |
| Nozawa, Masashi Browse this author |
| Nakamura, Kenichi Browse this author |
| Tanimura, Shinya Browse this author |
| Murakawa, Katsuhiko Browse this author |
| Murakami, Yoshihiro Browse this author |
| Kikuchi, Kenji Browse this author |
| Ushigome, Hajime Browse this author |
| Sato, Leo Browse this author |
| Yamamoto, Minoru Browse this author |
| Shimizu, Yasunobu Browse this author |
| Hayakawa, Tetsushi Browse this author |
| Tanaka, Moritsugu Browse this author |
| Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Delta-shaped anastomosis |
| Laparoscopic distal gastrectomy |
| Intracorporeal gastroduodenostomy |
| Billroth I reconstruction |
| Issue Date: | Jul-2014 |
| Publisher: | Springer |
| Journal Title: | Surgical Endoscopy and Other Interventional Techniques |
| Volume: | 28 |
| Issue: | 7 |
| Start Page: | 2137 |
| End Page: | 2144 |
| Publisher DOI: | 10.1007/s00464-014-3445-6 |
| PMID: | 24515263 |
| Abstract: | Various methods of reconstruction after laparoscopic distal gastrectomy (LDG) have been developed and published, whereas only a limited number of reports are available on the utility of the delta-shaped anastomosis (Delta). This study compared Delta and Roux-en-Y anastomoses (RY), with the aim to clarify the utility of Delta. Stage 1 gastric cancer patients who had undergone LDG with Delta (group D, n = 68) and those who had undergone LDG with RY (group RY, n = 60) were compared in terms of operative outcomes, postoperative clinical symptoms, gastrointestinal fiberscopic findings, and changes in body weight. Both the operative and anastomotic times were significantly shorter in group D (230 and 13 min, respectively) than in group RY (258 and 38 min, respectively) (p < 0.001). Among the complications observed at the anastomotic site, obstruction was seen in one group D patient and two group RY patients but was relieved with conservative management. Postoperative clinical symptoms were reported for 26.4 % of the group D patients but had decreased to 5.9 % 1 year later. Group RY yielded similar results. Upper gastrointestinal fiberscopy performed 1 year postoperatively showed no intergroup differences in the incidence of gastritis or residual retention and a significantly more frequent occurrence of bile reflux in group D. Postoperative weight changes did not differ between the two groups. Delta reconstruction after LDG is a safe and effective procedure that is totally laparoscopic, less time consuming, and associated with a favorable postoperative course and a better quality of life. |
| Rights: | http://creativecommons.org/licenses/by/4.0/ |
| Type: | article |
| URI: | http://hdl.handle.net/2115/56765 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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