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Vol.55 No.3 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/237

Title: 当科における腹腔鏡補助下幽門側胃切除Roux-en-Y吻合の手技
Other Titles: THETECHNIQUE OF OUR LAPAROSCOPE ASSISTED DISTAL GASTRECTOMY RECONSTRUCTED BY Roux-en-Y ANASTOMOSIS
Authors: 上野, 正闘
山田, 行重
成清, 道博
内田, 英樹
大東, 雄一郎
蜂須賀, 崇
頼木, 領
三木, 克彦
水野, 崇志
中島, 祥介
Keywords: laparoscope
gastrectomy
Roux-en-Y
anastomosis
Issue Date: 30-Jun-2004
Publisher: 奈良医学会
奈良県立医科大学
Citation: Journal of Nara Medical Association Vol.55 No.3 p.169-174
Abstract: The recent technical advancement of laparoscopic surgery enables us to perfo㎜ variant laparoscopic operations. The Roux-en-Y reconstruction for gastrectomy is also practicable laparoscopically. However, the generally developed method of laparoscopic Roux-en-Y reconstruction is complicated and costly because of multiple uses of auto-suturing instruments, so the method has not become widely used. We perform laparoscope assisted distal gastrectomy reconstructed by Billroth-I anastomosis (LADG-BI) for patients who are diagnosed with early gastric cancer impossible to undergo endoscopic resection (EMR), but in case of a lesion in the middle or upper gastric body, we need to reconstrusts by Roux-en-Y anastomosis (LADG-RY). With our devise, in LADG-RY, all anastomotic procedures are operable outside of the abdominal cavity and use of the auto-suturing instrument is reqaired only twice. Our device enablles us to perform LADG-RY without the problems described above. No differences are seen in operation time, bleeding, and curability between our LADG-RY and laparotomic Roux-en-Y reconstruction.
URI: http://hdl.handle.net/10564/237
ISSN: 13450069
Appears in Collections:Vol.55 No.3

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