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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

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Please use this identifier to cite or link to this item:http://hdl.handle.net/2115/86876

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)

Submitter: 海老原 裕磨

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