演題抄録

ポスター

開催概要
開催回
第56回・2018年・横浜
 

胃癌に対する腹腔鏡下胃切除術の術式別短期成績の検討

演題番号 : P9-3

[筆頭演者]
演者)六車 一哉:1 
[共同演者]
田中 浩明:1、豊川 貴弘:1、田村 達郎:1、木村 健二郎:1、永原 央:1、福岡 達成:1、大平 豪:1、渋谷 雅常:1、山添 定明:1、天野 良亮:1、前田 清:1、平川 弘聖:1、大平 雅一:1

1:大阪市立大学・腫瘍外科

 

Laparoscopic distal gastrectomy (LDG) for early gastric cancer has already been proved to be effective with certain evidence. In recent years, large-scale clinical trials have also been performed for advanced gastric cancer, and there is a high possibility that its usefulness will be demonstrated sooner or later. However, there are also reports that there are many complications if the number of experiences is small. In this report, short-term postoperative surgical results of tottaly laparoscopic distal gastrectomy and laparoscope-assisted distal gastrectomy in our department were analyzed retrospectively. [Patient&method] 288 cases of laparoscopic gastrectomy performed in our department from 2010 to 2016 were divided into laparoscope-assisted gastric resection group (LADG group) and tottaly laparoscopic gastrectomy group (TLDG group), between the two groups, the clinicopathological background and postoperative short term outcome were compared retrospectively. [Results] LADG group: TLDG group = 147 cases (M / F: 100/47): 141 cases (M / F: 81/60). There was no difference in the background factor (gender, age, BMI, tissue type, maximum tumor diameter, pStage) between the two groups. In the surgical factor, the amount of bleeding in the TLDG group was significantly lower, and the operation time was significantly prolonged. There was no difference in lymph node dissection count. Postoperative complications of Grade 3 or higher in Clavien-Dindo classification did not show any difference between the two groups. Postoperative hospital stay was significantly shortened in the TLDG group. [conclusion] Although TLDG may lead to prolongation of operation time, it does not lead to an increase in the incidence of postoperative complications, and benefits to patients such as reduction of bleeding volume and reduction of hospital stay are significant. So we conclude tottaly laparoscopic distal gastrectomy is considered to be standard treatment.

キーワード

臓器別:胃・十二指腸

手法別:内視鏡手術

前へ戻る