| Laparoscopy-assisted pylorus-preserving gastrectomy: preservation of vagus nerve and infrapyloric blood flow induces less stasis. | |
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MedLine Citation:
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PMID: 17952497 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Pylorus-preserving gastrectomy (PPG) prevents postprandial symptoms; however, delayed gastric retention due to aberrant pylorus function can occur during the early postoperative period. This study aimed to establish a stasis-less PPG procedure with preservation of the vagal nerve and blood flow to the pyloric cuff, and to apply the technique for laparoscopy-assisted PPG. METHODS: Ninety patients with T1 gastric cancer located in the middle third of the stomach were enrolled in this study for surgery from January 2003 to March 2006, undergoing either laparoscopy-assisted PPG (LAPPG; 39 patients) or conventional PPG (CPPG; 51 patients). Operative and early postoperative outcomes were compared between the two groups. RESULTS: Relatively low rates of gastric stasis were observed in both the LAPPG (8%) and CPPG (6%) groups. Estimated blood loss in LAPPG (65.4 +/- 12.3 ml) patients was significantly lower than in the CPPG group (160.7 +/- 19.6 ml) (p < 0.001), and the total number of dissected lymph nodes was significantly greater in the LAPPG group (36.2 +/- 1.8) than in the CPPG group (29.0 +/- 1.3) (p = 0.001). CONCLUSIONS: A PPG procedure with less postoperative stasis and adequate lymph node retrieval was established and applied successfully in laparoscopy-assisted surgery. |
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Authors:
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Souya Nunobe; Naoki Hiki; Tetsu Fukunaga; Masanori Tokunaga; Shigekazu Ohyama; Yasuyuki Seto; Toshiharu Yamaguchi |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: World journal of surgery Volume: 31 ISSN: 0364-2313 ISO Abbreviation: World J Surg Publication Date: 2007 Dec |
Date Detail:
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Created Date: 2007-12-06 Completed Date: 2008-03-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7704052 Medline TA: World J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 2335-40 Citation Subset: IM |
Affiliation:
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Department of Surgery, Cancer Institute Hospital, Tokyo, Japan. sonunobe@cick.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Female Gastrectomy / adverse effects*, methods* Gastroparesis / physiopathology, prevention & control* Humans Laparoscopy* Lymph Node Excision Male Middle Aged Postgastrectomy Syndromes / prevention & control Pylorus / blood supply, physiopathology Stomach Neoplasms / surgery Treatment Outcome Vagus Nerve / physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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