Evaluation of the delta-shaped anastomosis in laparoscopic distal gastrectomy: midterm results of a comparison with Roux-en-Y anastomosis

Kitagami, Hidehiko; Morimoto, Mamoru; Nozawa, Masashi; Nakamura, Kenichi; Tanimura, Shinya; Murakawa, Katsuhiko; Murakami, Yoshihiro; Kikuchi, Kenji; Ushigome, Hajime; Sato, Leo; Yamamoto, Minoru; Shimizu, Yasunobu; Hayakawa, Tetsushi; Tanaka, Moritsugu; Hirano, Satoshi

Evaluation of the delta-shaped anastomosis in laparoscopic distal gastrectomy: midterm results of a comparison with Roux-en-Y anastomosis

Kitagami, Hidehiko; Morimoto, Mamoru; Nozawa, Masashi et al.

Surgical Endoscopy and Other Interventional Techniques, 2014, 28(7), 2137-2144

Permalink : https://hdl.handle.net/2115/56765

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アクセス権	open access
URI	https://hdl.handle.net/2115/56765
タイトル	Evaluation of the delta-shaped anastomosis in laparoscopic distal gastrectomy: midterm results of a comparison with Roux-en-Y anastomosis
著者	Kitagami, Hidehiko ; Morimoto, Mamoru ; Nozawa, Masashi ; Nakamura, Kenichi ; Tanimura, Shinya ; Murakawa, Katsuhiko ; Murakami, Yoshihiro ; Kikuchi, Kenji ; Ushigome, Hajime ; Sato, Leo ; Yamamoto, Minoru ; Shimizu, Yasunobu ; Hayakawa, Tetsushi ; Tanaka, Moritsugu ; Hirano, Satoshi
著者名 Kitagami, Hidehiko
著者名 Morimoto, Mamoru
著者名 Nozawa, Masashi
著者名 Nakamura, Kenichi
著者名 Tanimura, Shinya
著者名 Murakawa, Katsuhiko
著者名 Murakami, Yoshihiro
著者名 Kikuchi, Kenji
著者名 Ushigome, Hajime
著者名 Sato, Leo
著者名 Yamamoto, Minoru
著者名 Shimizu, Yasunobu
著者名 Hayakawa, Tetsushi
著者名 Tanaka, Moritsugu
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
キーワード	Delta-shaped anastomosis
	Laparoscopic distal gastrectomy
	Intracorporeal gastroduodenostomy
	Billroth I reconstruction
発行日	2014-07
出版者	Springer
収録物名	Surgical Endoscopy and Other Interventional Techniques
巻(号)	28(7)
ページ	2137-2144
抄録	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.
資源タイプ	学術雑誌論文
出版タイプ	Version of Record
権利情報	Creative Commons Attribution 4.0 International
PISSN	0930-2794
EISSN	1432-2218
関連情報	PMID 24515263
関連情報 (isIdenticalTo)	出版社版DOI https://doi.org/10.1007/s00464-014-3445-6