Clinical significance of totally laparoscopic distal gastrectomy: A comparison of short-term outcomes relative to open and laparoscopic-assisted distal gastrectomy

Sho Nishimura, Eiji Oki, Satoshi Tsutsumi, Yasuo Tsuda, Masahiko Sugiyama, Yuichiro Nakashima, Hideto Sonoda, Kippei Ohgaki, Hiroshi Saeki, Yoshihiko Maehara

研究成果: ジャーナルへの寄稿記事

6 引用 (Scopus)

抄録

Background: Laparoscopic distal gastrectomy has become an established minimally invasive treatment for gastric cancer since it was first reported in 1994. Materials and Methods: We retrospectively assessed the clinical outcomes of 248 patients who had undergone open distal gastrectomy (ODG), laparoscopic-assisted distal gastrectomy (LADG), and totally laparoscopic distal gastrectomy (TLDG) for gastric cancer. Results and Conclusions: TLDG showed superiority in terms of blood loss, reconstruction options, and postoperative recovery compared with ODG and LADG. Especially, the mean operating time in the TLDG group was significantly shorter than that of the LADG group (P=0.003). Book-binding technique used in TLDG was one of the reasons of this result. The only inferior aspect of TLDG was the longer operating time compared with ODG; TLDG had no disadvantages compared with LADG. Although the operating time and long-term outcome remain problems, we suggest that TLDG has the potential to serve as an optimal operative method.

元の言語英語
ページ(範囲)372-376
ページ数5
ジャーナルSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
26
発行部数5
DOI
出版物ステータス出版済み - 7 1 2016

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Gastrectomy
Stomach Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery

これを引用

Clinical significance of totally laparoscopic distal gastrectomy : A comparison of short-term outcomes relative to open and laparoscopic-assisted distal gastrectomy. / Nishimura, Sho; Oki, Eiji; Tsutsumi, Satoshi; Tsuda, Yasuo; Sugiyama, Masahiko; Nakashima, Yuichiro; Sonoda, Hideto; Ohgaki, Kippei; Saeki, Hiroshi; Maehara, Yoshihiko.

:: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 巻 26, 番号 5, 01.07.2016, p. 372-376.

研究成果: ジャーナルへの寄稿記事

Nishimura, Sho ; Oki, Eiji ; Tsutsumi, Satoshi ; Tsuda, Yasuo ; Sugiyama, Masahiko ; Nakashima, Yuichiro ; Sonoda, Hideto ; Ohgaki, Kippei ; Saeki, Hiroshi ; Maehara, Yoshihiko. / Clinical significance of totally laparoscopic distal gastrectomy : A comparison of short-term outcomes relative to open and laparoscopic-assisted distal gastrectomy. :: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques. 2016 ; 巻 26, 番号 5. pp. 372-376.
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abstract = "Background: Laparoscopic distal gastrectomy has become an established minimally invasive treatment for gastric cancer since it was first reported in 1994. Materials and Methods: We retrospectively assessed the clinical outcomes of 248 patients who had undergone open distal gastrectomy (ODG), laparoscopic-assisted distal gastrectomy (LADG), and totally laparoscopic distal gastrectomy (TLDG) for gastric cancer. Results and Conclusions: TLDG showed superiority in terms of blood loss, reconstruction options, and postoperative recovery compared with ODG and LADG. Especially, the mean operating time in the TLDG group was significantly shorter than that of the LADG group (P=0.003). Book-binding technique used in TLDG was one of the reasons of this result. The only inferior aspect of TLDG was the longer operating time compared with ODG; TLDG had no disadvantages compared with LADG. Although the operating time and long-term outcome remain problems, we suggest that TLDG has the potential to serve as an optimal operative method.",
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AU - Tsuda, Yasuo

AU - Sugiyama, Masahiko

AU - Nakashima, Yuichiro

AU - Sonoda, Hideto

AU - Ohgaki, Kippei

AU - Saeki, Hiroshi

AU - Maehara, Yoshihiko

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