PDF(Pubmed)
Abstract：
UNASSIGNED: To clarify the safety and feasibility of laparoscopic proximal gastrectomy (LPG) with our novel reconstruction methods.
UNASSIGNED: Novel method is a reconstruction with a long and narrow gastric tube with widening of the proximal side created by linear stapler, and esophagogastrostomy is performed by linear stapler. In conventional method, esophagogastrostomy is performed by a circular stapler. Short- and long-term outcomes of a novel method were compared with those of conventional method.
UNASSIGNED: A total of 44 patients whom LPG was performed were enrolled in this retrospective study. No cases of anastomotic leakage and stenosis were observed in both groups. The cases of postoperative reflux esophagitis (Grade B or higher) at 1 year after operation in the Novel group were less than those in the Conventional group (17% vs. 44%).
UNASSIGNED: LPG with novel reconstruction method can be easily performed, and may be feasible for the treatment of proximal gastric cancer.
UNASSIGNED: Novel method is a reconstruction with a long and narrow gastric tube with widening of the proximal side created by linear stapler, and esophagogastrostomy is performed by linear stapler. In conventional method, esophagogastrostomy is performed by a circular stapler. Short- and long-term outcomes of a novel method were compared with those of conventional method.
UNASSIGNED: A total of 44 patients whom LPG was performed were enrolled in this retrospective study. No cases of anastomotic leakage and stenosis were observed in both groups. The cases of postoperative reflux esophagitis (Grade B or higher) at 1 year after operation in the Novel group were less than those in the Conventional group (17% vs. 44%).
UNASSIGNED: LPG with novel reconstruction method can be easily performed, and may be feasible for the treatment of proximal gastric cancer.
摘要：
■用我们的新型重建方法阐明腹腔镜近端胃切除术（LPG）的安全性和可行性。
■新颖的方法是一种由线性吻合器产生的细长胃管的近端加宽的重建方法，食管胃造口术由线性吻合器完成。在常规方法中,食管胃造口术由圆形吻合器进行。将新方法的短期和长期结果与常规方法进行了比较。
■这项回顾性研究共纳入了44例接受LPG治疗的患者。两组均未出现吻合口漏和狭窄。Novel组术后1年反流性食管炎（B级或更高）的例数少于常规组（17％vs.44%）。
■可以轻松执行具有新颖重建方法的LPG，对于近端胃癌的治疗可能是可行的。
■新颖的方法是一种由线性吻合器产生的细长胃管的近端加宽的重建方法，食管胃造口术由线性吻合器完成。在常规方法中,食管胃造口术由圆形吻合器进行。将新方法的短期和长期结果与常规方法进行了比较。
■这项回顾性研究共纳入了44例接受LPG治疗的患者。两组均未出现吻合口漏和狭窄。Novel组术后1年反流性食管炎（B级或更高）的例数少于常规组（17％vs.44%）。
■可以轻松执行具有新颖重建方法的LPG，对于近端胃癌的治疗可能是可行的。
