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Linear-Shaped Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy
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  • Linear-Shaped Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy
  • Linear-Shaped Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy
저자명
Son. Hyaung-Mi,Lee. Sang-Lim,Hur. Hoon,Cho. Yong-Kwan,Han. Sang-Uk
간행물명
Journal of gastric cancer
권/호정보
2010년|10권 2호|pp.69-74 (6 pages)
발행정보
대한위암학회
파일정보
정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Purpose: Laparoscopic gastrectomy has been common treatment modality for gastric cancer. But, most surgeons tend to perform laparoscopy-assisted distal gastrectomy using epigastric incision. Delta-shaped anastomosis is known as intracorporeal gastroduodenostomy, but it is technically difficult and needed many staplers. So we tried to find simple and economical method, here we report on the results of liner-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy. Materials and Methods: We retrospectively reviewed the medical records of 25 patients who underwent totally laparoscopic distal gastrectomy using liner-shaped anastomosis at School of Medicine, Ajou University between January to October 2009. The indication was early gastric cancer as diagnosed by preoperative workup, the anastomoses were performed by using laparoscopic linear stapler. Results: There were 12 female and 13 male patients with a mean age of $55.6{pm}11.2$. The following procedures were performed 14 laparoscopic gastrectomies, 11 robotic gastrectomies. The mean operation time was $179.5{pm}27.4$ minutes, the mean anastomotic time was $17.5{pm}3.4$ minutes. The mean number of stapler cartridges was $5.6{pm}0.8$. Postoperative complication occurred in one patient, anastomotic stenosis, and the patient required reoperation to gastrojejunostomy. The mean length of postoperative hospital stay was $6.7{pm}1.0$ days except the complication case, and there was no case of conversion to open procedure and postoperative mortality. Conclusions: Linear-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy is technically simple and feasible method.