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Hokkaido University Collection of Scholarly and Academic Papers >
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Robotic Distal Gastrectomy With a Novel "Preemptive Retropancreatic Approach" During Dissection of Suprapancreatic Lymph Nodes for Gastric Cancer
| Title: | Robotic Distal Gastrectomy With a Novel "Preemptive Retropancreatic Approach" During Dissection of Suprapancreatic Lymph Nodes for Gastric Cancer |
| Authors: | Ebihara, Yuma Browse this author →KAKEN DB | | Kurashima, Yo Browse this author | | Murakami, Soichi Browse this author | | Shichinohe, Toshiaki Browse this author | | Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | robotic distal gastrectomy | | suprapancreatic lymph nodes | | postoperative complications | | pancreatic fistuula |
| Issue Date: | Aug-2021 |
| Publisher: | Lippincott Williams & Wilkins (LWW) |
| Journal Title: | Surgical Laparoscopy Endoscopy & Percutaneous Techniques |
| Volume: | 31 |
| Issue: | 4 |
| Start Page: | 457 |
| End Page: | 461 |
| Publisher DOI: | 10.1097/SLE.0000000000000897 |
| Abstract: | Introduction: Abrogating contact with the pancreas in suprapancreatic lymph nodes dissection for gastric cancer can prevent pancreatic fistula because of postoperative pancreatic damage. Our novel "Preemptive retropancreatic approach" is a useful technique that minimizes pancreatic compression during robotic distal gastrectomy (RDG) with multijointed forceps. Here, we report the usefulness of RDG for gastric cancer surgery using our novel "Preemptive retropancreatic approach". Materials: "Preemptive retropancreatic approach": initial dissection of the bilateral retropancreatic space, the adherence between the retroperitoneum surface and the pancreas (fusion fascia) is released, providing a good operative field and hindering contact with the pancreas in suprapancreatic lymph nodes dissection during RDG. We herein reported consecutive 30 patients with gastric cancer who underwent RDG at Hokkaido University from September 2014 to March 2020. Results: All operations were performed by a single surgeon (Y.E.). The median operating time was 281 minutes (132 to 415). The median intraoperative bleeding was 0 ml of blood (0 to 255). There were 2 incidences of postoperative complications (>= Clavien-Dindo classification II), and there were no cases of postoperative pancreas-related complications. The median length of hospital stay after the surgery was 10 days (6 to 33). Conclusion: As RDG for gastric cancer is still in its early introductory phase, its superiority has yet to be definitively established. However, we believe that "Preemptive retropancreatic approach" may reduce postoperative pancreatic-related complications in suprapancreatic lymph nodes dissection. |
| Rights: | This is a non-final version of an article published in final form in Ebihara, Yuma; Kurashima, Yo; Murakami, Soichi; Shichinohe, Toshiaki; Hirano, Satoshi Robotic Distal Gastrectomy With a Novel “Preemptive Retropancreatic Approach” During Dissection of Suprapancreatic Lymph Nodes for Gastric Cancer, Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: August 2021 Volume 31 Issue 4 p 457-461. |
| Type: | article (author version) |
| URI: | http://hdl.handle.net/2115/86502 |
| 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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Submitter: 海老原 裕磨
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