Title: | Initial Results of Laparoscopic Proximal Gastrectomy With Double-tract Reconstruction Using Oblique Jejunogastrostomy Method on the Long-term Outcome of Postoperative Nutritional Status : A Propensity Score-matched Study |
Authors: | Kimura, Kotaro Browse this author |
Ebihara, Yuma Browse this author →KAKEN DB |
Tanaka, Kimitaka Browse this author →KAKEN DB |
Nakanishi, Yoshitsugu Browse this author |
Asano, Toshimichi Browse this author |
Noji, Takehiro Browse this author |
Kurashima, Yo Browse this author |
Murakami, Soichi Browse this author |
Nakamura, Toru Browse this author |
Tsuchikawa, Takahiro Browse this author →KAKEN DB |
Okamura, Keisuke Browse this author |
Shichinohe, Toshiaki Browse this author →KAKEN DB |
Hirano, Satoshi Browse this author →KAKEN DB |
Keywords: | laparoscopic proximal gastrectomy |
gastric cancer |
postoperative nutritional status |
propensity score matching |
Issue Date: | Oct-2021 |
Publisher: | Lippincott Williams & Wilkins (LWW) |
Journal Title: | Surgical Laparoscopy Endoscopy & Percutaneous Techniques |
Volume: | 31 |
Issue: | 5 |
Start Page: | 603 |
End Page: | 607 |
Publisher DOI: | 10.1097/SLE.0000000000000954 |
Abstract: | Background: The aim of this study was to evaluate the long-term nutritional state of patients with gastric cancer who underwent laparoscopic proximal gastrectomy with double-tract reconstruction (LPG-DTR) using oblique jejunogastrostomy method (OJG). Methods: Medical records of 38 patients who underwent LPG-DTR using OJG (21 patients) or laparoscopic total gastrectomy with Roux-en-Y reconstruction (LTG-RY) (17 patients) between October 2011 and March 2018 were retrospectively reviewed. In these patients, clinicopathologic variables were analyzed using propensity score matching for age, sex, body mass index, American Society of Anesthesiologists physical state, clinical stage, and lymph node dissection. Operative outcomes and postoperative nutritional status were compared between the 2 groups. Results: A total of 16 patients were matched to analyze the LPG-DTR and LTG-RY groups. The serum hemoglobin, total protein, and albumin levels at 12 months postoperatively (P=0.008, 0.034, and 0.049) and serum hemoglobin level at 24 months (P=0.025) in the LPG-DTR group was significantly superior to those in the LTG-RY group. Conclusions: The postoperative nutritional status as long-term outcomes of patients who underwent LPG-DTR using OJG was significantly superior to those who underwent LTG-RY. The results hereby presented suggest that LPG-DTR using OJG for gastric cancer produces better postoperative nutritional status. |
Rights: | This is a non-final version of an article published in final form in Kimura, Kotaro ; Ebihara, Yuma ; Tanaka, Kimitaka; Nakanishi, Yoshitsugu; Asano, Toshimichi ; Noji, Takehiro ; Kurashima, Yo; Murakami, Soichi; Nakamura, Toru; Tsuchikawa, Takahiro ; Okamura, Keisuke; Shichinohe, Toshiaki; Hirano, Satoshi Initial Results of Laparoscopic Proximal Gastrectomy With Double-tract Reconstruction Using Oblique Jejunogastrostomy Method on the Long-term Outcome of Postoperative Nutritional Status: A Propensity Score-matched Study, Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: October 2021 Volume 31 Issue 5 p 603-607. |
Type: | article (author version) |
URI: | http://hdl.handle.net/2115/86876 |
Appears in Collections: | 北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
|