PMID- 12080272
OWN - NLM
STAT- MEDLINE
DCOM- 20020722
LR  - 20191210
IS  - 1530-4515 (Print)
IS  - 1530-4515 (Linking)
VI  - 12
IP  - 3
DP  - 2002 Jun
TI  - Laparoscopy-assisted Billroth-I gastrectomy (LADG) for cancer: our 10 years' 
      experience.
PG  - 204-7
AB  - To evaluate laparoscopy-assisted Billroth-I gastrectomy (LADG), we examined the 
      outcome of its use over the last 10 years. From December 1991 to December 2001, 
      116 patients with early gastric cancer underwent LADG in the surgical department 
      of Oita Medical University and Koga hospital by the same surgical staffs. An 
      operation record and clinical sheets were reviewed to obtain the operative 
      findings, clinical course, and pathologic findings of resected specimens to 
      evaluate the usefulness of LADG in the management of early gastric cancer. In all 
      LADG procedures, regional lymph nodes dissection (D1+alpha) was successfully 
      performed using laparoscopy. The mean operative duration and blood loss were 234 
      minutes and 139 mL, respectively. There were only four major complications, 
      including pneumonia, leakage of anastomosis, pancreatic injury, and anastomotic 
      stenosis, but all these cases were successfully treated conservatively. The mean 
      length of postoperative stay was 16.3 +/- 2.5 days. All patients except one, who 
      died not of cancer but of cerebral bleeding, were alive without recurrence or 
      port-site metastasis during mean follow-up period of 45 months. We successfully 
      performed 116 LADG procedures over 10 years. This procedure is recommended for 
      the treatment of patients with early gastric cancer because of the associated 
      good prognosis and several benefits, including less invasiveness and early 
      recovery.
FAU - Kitano, Seigo
AU  - Kitano S
AD  - Department of Surgery I, Oita Medical University, Japan. kitano@oita-med.ac.jp
FAU - Shiraishi, Norio
AU  - Shiraishi N
FAU - Kakisako, Kenji
AU  - Kakisako K
FAU - Yasuda, Kazuhiro
AU  - Yasuda K
FAU - Inomata, Masafumi
AU  - Inomata M
FAU - Adachi, Yosuke
AU  - Adachi Y
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PL  - United States
TA  - Surg Laparosc Endosc Percutan Tech
JT  - Surgical laparoscopy, endoscopy & percutaneous techniques
JID - 100888751
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Disease Progression
MH  - Female
MH  - Gastrectomy/*methods
MH  - Humans
MH  - Laparoscopy/*methods
MH  - Length of Stay
MH  - Male
MH  - Middle Aged
MH  - Prognosis
MH  - Stomach Neoplasms/diagnosis/*surgery
MH  - Treatment Outcome
EDAT- 2002/06/25 10:00
MHDA- 2002/07/23 10:01
CRDT- 2002/06/25 10:00
PHST- 2002/06/25 10:00 [pubmed]
PHST- 2002/07/23 10:01 [medline]
PHST- 2002/06/25 10:00 [entrez]
AID - 10.1097/00129689-200206000-00021 [doi]
PST - ppublish
SO  - Surg Laparosc Endosc Percutan Tech. 2002 Jun;12(3):204-7. doi: 
      10.1097/00129689-200206000-00021.