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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 344 - 354 (11page)
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Purpose: No standard technique has been established for esophagojejunal anastomosisduring laparoscopic total gastrectomy (LTG) for gastric cancer owing to the technicaldifficulty and high complication rate of this procedure. This study was performed to comparethe short-term outcomes of circular and linear stapling methods after LTG. Materials and Methods: A total of 106 patients treated between July 2010 and July 2018 weredivided into 2 groups according to the following anastomosis procedures: hemi-doublestaplingtechnique (HDST; circular stapling method; group C, n=77) or overlap method (linearstapling method; group L, n= 29). The clinicopathological features and postoperative outcomes,including complications, were analyzed. Multivariate analysis was performed using a logisticregression model to identify the independent risk factors for anastomotic complications. Results: The incidence of anastomotic complications was significantly higher in group C thanin group L (28.0% vs. 6.9%, P=0.031). The incidence of anastomosis leakage did not differbetween the groups (6.5% vs. 6.9%, P=1.000). However, anastomosis stricture occurred onlyin group C (13% vs. 0%, P=0.018). Multivariate analysis showed that the anastomosis type wassignificantly related to the risk of anastomotic complications (P=0.045). Conclusions: The overlap method was superior to the HDST with respect to anastomoticcomplications, especially anastomosis stricture.
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참고문헌 (23)
참고문헌 신청
Umemura A / 2015 / Totally laparoscopic total gastrectomy for gastric cancer: literature review and comparison of the procedure of esophagojejunostomy / Asian J Surg 38:102~112
Yoo HM / 2011 / Negative impact of leakage on survival of patients undergoing curative resection for advanced gastric cancer / J Surg Oncol 104:734~740
Omori T / 2009 / A simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy / Am J Surg 197:e13~e17
Inaba K / 2010 / Overlap method: novel intracorporeal esophagojejunostomy after laparoscopic total gastrectomy / J Am Coll Surg 211:e25~e29
Wang H / 2015 / Esophagojejunostomy after laparoscopic total gastrectomy by OrVil™ or hemi-double stapling technique / World J Gastroenterol 21:8943~8951
Yoo HM / 2011 / Negative impact of leakage on survival of patients undergoing curative resection for advanced gastric cancer / J Surg Oncol 104:734~740
Omori T / 2009 / A simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy / Am J Surg 197:e13~e17
Inaba K / 2010 / Overlap method: novel intracorporeal esophagojejunostomy after laparoscopic total gastrectomy / J Am Coll Surg 211:e25~e29
Wang H / 2015 / Esophagojejunostomy after laparoscopic total gastrectomy by OrVil™ or hemi-double stapling technique / World J Gastroenterol 21:8943~8951
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