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Surgical Endoscopy

Published in:

01-01-2011

Laparoscopy-assisted pylorus-preserving gastrectomy: a matched case–control study

Authors: Norimitsu Tanaka, Hitoshi Katai, Makoto Saka, Shinji Morita, Takeo Fukagawa

Published in: Surgical Endoscopy | Issue 1/2011

Abstract

Background

Pylorus-preserving gastrectomy (PPG) has been widely accepted as the standard treatment for early gastric cancer, and the laparoscopic approach has been gradually introduced. The aim of this study is to investigate the short-term outcome of laparoscopy-assisted PPG (LAPPG) in comparison with open PPG (OPPG).

Methods

Between April 2006 and May 2009, a cohort of 418 patients with early gastric cancer in the middle third of the stomach underwent PPG, and 90 of the LAPPG patients and 90 of the OPPG patients among them were matched for sex, age, and body mass index. The outcomes of the patients in the two groups were then compared.

Results

Operation time was significantly longer in the LAPPG group than in the OPPG group (270 vs. 195 min, P < 0.001), and there was significantly less blood loss in the LAPPG group than in the OPPG group (29 vs. 97 ml, P < 0.001). The overall incidence of surgery-related complications in the two groups was similar (8.9 vs. 11.1%). The proportion of patients who used analgesics after postoperative day 5 was significantly lower in the LAPPG group than in the OPPG group (35.6 vs. 61.1%, P = 0.001). There was no significant difference between the two groups in the interval between surgery and resumption of oral feeding, the interval between surgery and first flatus, number of patients with body temperature of 38°C or more, or length of hospital stay.

Conclusions

LAPPG can be performed safely in terms of short-term outcome.

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Title: Laparoscopy-assisted pylorus-preserving gastrectomy: a matched case–control study
Authors: Norimitsu Tanaka
Hitoshi Katai
Makoto Saka
Shinji Morita
Takeo Fukagawa
Publication date: 01-01-2011
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-010-1142-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopy-assisted pylorus-preserving gastrectomy: a matched case–control study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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