体腔内Birrloth-I法再建（デルタ吻合）を用いた腹腔鏡下幽門側胃切除術の検討

山崎 公靖; 村上 雅彦; 田嶋 勇介; 広本 昌裕; 加藤 礼; 山下 剛史; 有吉 朋丈; 五藤 哲; 大塚 耕司; 藤森 聡; 榎並 延太; 渡辺 誠; 青木 武士; 加藤 貴史

doi:10.14930/jsma.72.670

Original

SHORT-TERM OUTCOMES OF THE DELTA-SHAPED ANASTOMOSIS IN LAPAROSCOPIC DISTAL GASTRECTOMY FOR GASTRIC CANCER

Kimiyasu YAMAZAKI, Masahiko MURAKAMI, Yusuke TAJIMA, Masahiro KOMOTO, Rei KATO, Takeshi YAMASHITA, Tomotake ARIYOSHI, Satoru GOTO, Koji OTSUKA, Satoshi FUJIMORI, Eita ENAMI, Makoto WATANABE, Takeshi AOKI, Takashi KATO

Author information

Kimiyasu YAMAZAKI
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Masahiko MURAKAMI
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Yusuke TAJIMA
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Masahiro KOMOTO
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Rei KATO
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Takeshi YAMASHITA
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Tomotake ARIYOSHI
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Satoru GOTO
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Koji OTSUKA
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Satoshi FUJIMORI
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Eita ENAMI
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Makoto WATANABE
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Takeshi AOKI
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine
Takashi KATO
Department of Surgery, Division of General and Gastroenterological Surgery, Showa University School of Medicine

Keywords: Gastric cancer, Laparoscopic distal gastrectomy

JOURNAL FREE ACCESS

2012 Volume 72 Issue 6 Pages 670-673

DOI https://doi.org/10.14930/jsma.72.670

Details

Abstract

We retrospectively analyzed 137 consecutive gastric cancer patients who underwent delta-shaped anastomosis in totally laparoscopic distal gastrectomy (LDG). Surgical outcomes of LDG, such as operative results and postoperative complications were compared with those of the 62 laparoscopy-assisted distal gastrectomy (LADG) patients. As compared with LADG group, the LDG group had a significantly shorter operation time (219 vs. 287 min, p < 0.001). There was no significant difference in the extent of lymph node dissection, the number of lymph nodes dissected, postoperative complications, and length of hospital stay between the two groups. From the viewpoint of surgical outcomes, LDG is a safe and feasible procedure for gastric cancer.

Corresponding author

Register with J-STAGE for free!