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[Methods] Between 2010 and 2018, 47 cases underwent proximal gastrectomy with esophagogastrostomy (n = 23) or double-tract reconstruction (n = 24) at our institution for the treatment of clinical T1N0 adenocarcinoma located in the upper third of the stomach. Patient clinical characteristics, short-term outcomes, nutrition status, and skeletal muscle index were compared among the two groups. [Results] There was no significant difference between esophagogastrostomy and double-tract reconstruction in terms of operation time, blood loss, and length of postoperative hospital stay. Reflux symptoms and anastomotic stenosis were significantly higher in the esophagogastrostomy group compared with the double-tract reconstruction group (P \u003c 0.001 and P = 0.004, respectively). There was no significant difference in anastomotic leakage, surgical site infection, and pancreatic fistula. For the nutritional status, the decrease rate of cholinesterase was significantly higher in the esophagogastrostomy group compared with the double-tract reconstruction group at 6 months (P = 0.008) There was no significant difference in the decrease rate of skeletal muscle mass index at 1 year after surgery. [Conclusion] Compared with esophagogastrostomy, double-tract reconstruction tends to have better short-term nutritional status and postoperative outcomes in terms of preventing the occurrence of gastroesophageal reflux and anastomosis stenosis. 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"subitem_subject_scheme": "Other"}, {"subitem_subject": "esophagogastrostomy", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "gastric cancer", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}, {"subitem_subject": "laparoscopic proximal gastrectomy", "subitem_subject_language": "en", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Comparisons of Postoperative Complications and Nutritional Status After Proximal Laparoscopic Gastrectomy with Esophagogastrostomy and Double-Tract Reconstruction", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Comparisons of Postoperative Complications and Nutritional Status After 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  1. 学部学科区分一覧
  2. 医学部・医学系研究科・医学部附属病院
  1. 資料タイプ一覧
  2. 学術雑誌論文
  1. 鳥取大学の刊行物
  2. Yonago Acta Medica
  3. 63
  4. 4

Comparisons of Postoperative Complications and Nutritional Status After Proximal Laparoscopic Gastrectomy with Esophagogastrostomy and Double-Tract Reconstruction

https://repository.lib.tottori-u.ac.jp/records/4755
https://repository.lib.tottori-u.ac.jp/records/4755
4d1b224c-e8e7-4606-9ce7-4057625b05a9
名前 / ファイル ライセンス アクション
yam63(4)_335.pdf yam63(4)_335.pdf (600.9 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2020-12-04
タイトル
言語 en
タイトル Comparisons of Postoperative Complications and Nutritional Status After Proximal Laparoscopic Gastrectomy with Esophagogastrostomy and Double-Tract Reconstruction
言語
言語 eng
キーワード
主題 esophagogastrostomy
キーワード
主題 gastric cancer
キーワード
主題 laparoscopic proximal gastrectomy
キーワード
言語 en
主題 esophagogastrostomy
キーワード
言語 en
主題 gastric cancer
キーワード
言語 en
主題 laparoscopic proximal gastrectomy
資源タイプ
資源タイプ journal article
著者 松永, 知之

× 松永, 知之

WEKO 2048
研究者総覧鳥取大学 100001316

松永, 知之

ja-Kana マツナガ, トモユキ

en Matsunaga, Tomoyuki

Search repository
宍戸, 裕二

× 宍戸, 裕二

WEKO 4746
研究者総覧鳥取大学 100001960

宍戸, 裕二

ja-Kana シシド, ユウジ

en Shishido, Yuji

Search repository
宮谷, 幸造

× 宮谷, 幸造

WEKO 2212
研究者総覧鳥取大学 100001106

宮谷, 幸造

ja-Kana ミヤタニ, コウゾウ

en Miyatani, Kozo

Search repository
花木, 武彦

× 花木, 武彦

WEKO 16961

花木, 武彦

ja-Kana ハナキ, タケヒコ

Search repository
キハラ, キョウイチ

× キハラ, キョウイチ

WEKO 16962

ja-Kana キハラ, キョウイチ

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山本, 学

× 山本, 学

WEKO 4296
研究者総覧鳥取大学 100001149

山本, 学

ja-Kana ヤマモト, マナブ

en Yamamoto, Manabu

Search repository
徳安, 成郎

× 徳安, 成郎

WEKO 3905
研究者総覧鳥取大学 100000393

徳安, 成郎

ja-Kana トクヤス, ナルオ

en Tokuyasu, Naruo

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高野, 周一

× 高野, 周一

WEKO 3600
研究者総覧鳥取大学 100000374

高野, 周一

ja-Kana タカノ, シュウイチ

en Takano, Shuichi

Search repository
坂本, 照尚

× 坂本, 照尚

WEKO 3118
研究者総覧鳥取大学 100000935

坂本, 照尚

ja-Kana サカモト, テルヒサ

en Sakamoto, Teruhisa

Search repository
本城, 総一郎

× 本城, 総一郎

WEKO 780
研究者総覧鳥取大学 100000247

本城, 総一郎

ja-Kana ホンジョウ, ソウイチロウ

en Honjo, Soichiro

Search repository
齊藤, 齊藤

× 齊藤, 齊藤

WEKO 3086
e-Rad 20335532
研究者総覧鳥取大学 100000156

齊藤, 齊藤

ja-Kana サイトウ, ヒロアキ

en Saito, Hiroaki

Search repository
藤原, 義之

× 藤原, 義之

WEKO 377
e-Rad 40314330
研究者総覧鳥取大学 100001755

藤原, 義之

ja-Kana フジワラ, ヨシユキ

en Fujiwara, Yoshiyuki

Search repository
Miyauchi, Wataru

× Miyauchi, Wataru

WEKO 16963

en Miyauchi, Wataru

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Hanaki, Takehiko

× Hanaki, Takehiko

WEKO 16964

en Hanaki, Takehiko

ja-Kana ハナキ, タケヒコ

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Kihara, Kyoichi

× Kihara, Kyoichi

WEKO 16965

en Kihara, Kyoichi

ja-Kana キハラ, キョウイチ

Search repository
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
著者所属(英)
en
Department of Surgery, Japanese Red Cross Tottori Hospital
著者所属(英)
en
Division of Gastrointestinal and Pediatric Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University
抄録
内容記述タイプ Other
内容記述 [Background] The purpose of this study was to compare postoperative complications and nutritional status between esophagogastrostomy and double-tract reconstruction in patients who underwent laparoscopic proximal gastrectomy, and assess the advantages of both surgical procedures. [Methods] Between 2010 and 2018, 47 cases underwent proximal gastrectomy with esophagogastrostomy (n = 23) or double-tract reconstruction (n = 24) at our institution for the treatment of clinical T1N0 adenocarcinoma located in the upper third of the stomach. Patient clinical characteristics, short-term outcomes, nutrition status, and skeletal muscle index were compared among the two groups. [Results] There was no significant difference between esophagogastrostomy and double-tract reconstruction in terms of operation time, blood loss, and length of postoperative hospital stay. Reflux symptoms and anastomotic stenosis were significantly higher in the esophagogastrostomy group compared with the double-tract reconstruction group (P < 0.001 and P = 0.004, respectively). There was no significant difference in anastomotic leakage, surgical site infection, and pancreatic fistula. For the nutritional status, the decrease rate of cholinesterase was significantly higher in the esophagogastrostomy group compared with the double-tract reconstruction group at 6 months (P = 0.008) There was no significant difference in the decrease rate of skeletal muscle mass index at 1 year after surgery. [Conclusion] Compared with esophagogastrostomy, double-tract reconstruction tends to have better short-term nutritional status and postoperative outcomes in terms of preventing the occurrence of gastroesophageal reflux and anastomosis stenosis. These findings suggest that double-tract reconstruction may be a useful method in laparoscopic proximal gastrectomy.
書誌情報 Yonago Acta Medica
en : Yonago Acta Medica

巻 63, 号 4, p. 335-342, 発行日 2020-11-24
雑誌内区分
Original Articles
出版者
出版者 Tottori University Medical Press
ISSN
収録物識別子タイプ ISSN
収録物識別子 05135710
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA00892882
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 10.33160/yam.2020.11.019
権利
権利情報 Yonago Acta medica 編集委員会
情報源
関連名称 Miyauchi Wataru, Matsunaga Tomoyuki, Shishido Yuji et al. Comparisons of Postoperative Complications and Nutritional Status After Proximal Laparoscopic Gastrectomy with Esophagogastrostomy and Double-Tract Reconstruction. 2020, 63(4). 335-342. doi:10.3316
関連サイト
識別子タイプ URI
関連識別子 https://www.jstage.jst.go.jp/article/yam/63/4/63_2020.11.019/_article/
関連名称 https://www.jstage.jst.go.jp/article/yam/63/4/63_2020.11.019/_article/
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識別子タイプ URI
関連識別子 http://www.lib.tottori-u.ac.jp/yam/yam/yam63-4/63-4contents.html
関連名称 http://www.lib.tottori-u.ac.jp/yam/yam/yam63-4/63-4contents.html
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出版タイプ VoR
EISSN
1346-8049
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