Laparoscopic proximal gastrectomy with oblique jejunogastrostomy

Tanaka, Kimitaka; Ebihara, Yuma; Kurashima, Yo; Nakanishi, Yoshitsugu; Asano, Toshimichi; Noji, Takehiro; Murakami, Soichi; Nakamura, Toru; Tsuchikawa, Takahiro; Okamura, Keisuke; Shichinohe, Toshiaki; Hirano, Satoshi

Laparoscopic proximal gastrectomy with oblique jejunogastrostomy

Tanaka, Kimitaka; Ebihara, Yuma; Kurashima, Yo et al.

Langenbeck's archives of surgery, 2017, 402(6), 995-1002

Permalink : https://hdl.handle.net/2115/71398

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論文情報

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アクセス権	open access
URI	https://hdl.handle.net/2115/71398
タイトル	Laparoscopic proximal gastrectomy with oblique jejunogastrostomy
著者	Tanaka, Kimitaka ; Ebihara, Yuma ; Kurashima, Yo ; Nakanishi, Yoshitsugu ; Asano, Toshimichi ; Noji, Takehiro ; Murakami, Soichi ; Nakamura, Toru ; Tsuchikawa, Takahiro ; Okamura, Keisuke ; Shichinohe, Toshiaki ; Hirano, Satoshi
e-Rad_Researcher 10758642 著者名 Tanaka, Kimitaka
e-Rad_Researcher 50632981 著者名 Ebihara, Yuma
e-Rad_Researcher 40374350 著者名 Kurashima, Yo
e-Rad_Researcher 40447058 著者名 Nakanishi, Yoshitsugu
e-Rad_Researcher 10756688 著者名 Asano, Toshimichi
e-Rad_Researcher 10739296 著者名 Noji, Takehiro
e-Rad_Researcher 80706573 著者名 Murakami, Soichi
e-Rad_Researcher 70645796 著者名 Nakamura, Toru
e-Rad_Researcher 50507572 著者名 Tsuchikawa, Takahiro
e-Rad_Researcher 90724401 著者名 Okamura, Keisuke
e-Rad_Researcher 70374353 著者名 Shichinohe, Toshiaki
e-Rad_Researcher 50322813 著者名 Hirano, Satoshi
言語	英語
キーワード	Proximal gastrectomy
	Double-tract reconstruction
	Gastric cancer
	Laparoscopic surgery
発行日	2017-09
出版者	Springer
収録物名	Langenbeck's archives of surgery
巻(号)	402(6)
ページ	995-1002
抄録	Background: Proximal early gastric cancer is a good indication for totally laparoscopic proximal gastrectomy (TLPG) with double-tract reconstruction (DTR). However, when most of the dietary intake passes through the escape route of the jejunum, the functional benefits of proximal gastrectomy might be similar to those after total gastrectomy. Our DTR procedure was improved for easy passage through the remnant stomach. The purposes of this study were to present a novel technique for intracorporeal DTR using linear staplers after TLPG and to investigate surgical outcomes. Methods: DTR was performed using linear staplers only. A side-to-side jejunogastrostomy with twisting of both the remnant stomach and the anal jejunum was performed for the purpose of passing meals through the remnant stomach (an oblique jejunogastrostomy technique). The ten patients who underwent TLPG with DTR from January 2011 to August 2016 in Hokkaido University Hospital were retrospectively reviewed. Their clinicopathological characteristics and surgical and postoperative outcomes were collected and analyzed. Results: The median duration of operation was 285 (range 146-440) min. No patients required blood transfusions. The number of dissected lymph nodes was 32 (range 22-56). There were no intraoperative complications, and no cases were converted to open surgery. All the patients were pT1N0M0 stage IA. No anastomotic leakage or complications were detected. Postoperative gastrography after reconstruction showed that contrast medium flowed mainly to the remnant stomach. The average percentage body weight loss was 14.0 +/- 7.1% at 10 months. The average percentage decrease in serum hemoglobin was 5.4 +/- 10.4% at 12 months. Conclusions: This novel technique for intracorporeal DTR provided a considerable advantage by the passage of dietary intake to the remnant stomach after LPG.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	The final publication is available at link.springer.com
PISSN	1435-2443
関連情報	PMID 28493146
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1007/s00423-017-1587-4