PMID- 24838623
OWN - NLM
STAT- MEDLINE
DCOM- 20150810
LR  - 20211021
IS  - 1436-2813 (Electronic)
IS  - 0941-1291 (Linking)
VI  - 44
IP  - 12
DP  - 2014 Dec
TI  - Novel laparoscopic procedure for treating proximal early gastric cancer: 
      laparoscopy-assisted pylorus-preserving nearly total gastrectomy.
PG  - 2332-8
LID - 10.1007/s00595-014-0928-y [doi]
AB  - PURPOSE: Pylorus-preserving nearly total gastrectomy (PPNTG) is a 
      function-preserving gastrectomy for treating proximal early gastric cancer that 
      prevents rapid gastric emptying and reflux. In this report, we present a surgical 
      technique for performing laparoscopy-assisted PPNTG (LAPPNTG). METHODS: The 
      resection of the stomach was similar to that during conventional total 
      gastrectomy, with the key difference being that the pyloric cuff was preserved to 
      a length of 3-4 cm. Compared with standard total gastrectomy, the lymph node 
      dissection along the right gastric vessels and the infrapyloric vessels were 
      omitted. Reconstruction was performed with a jejunal interposition that was 30 cm 
      in length, with preservation of the marginal vessels in a retrocolic fashion. 
      RESULTS: Thirteen patients with cT1 cN0 proximal gastric cancer underwent LAPPNTG 
      at our institution. The median length of the operation and estimated blood loss 
      were 329 min and 138 ml, respectively. All resected specimens had tumor-free 
      margins, and the median number of removed lymph nodes was 40. There were no 
      serious postoperative complications and no patients underwent conversion to 
      laparotomy. CONCLUSIONS: Performing LAPPNTG with a jejunal interposition is 
      feasible and might be an appropriate treatment for proximal early gastric cancer.
FAU - Takayama, Tomoyoshi
AU  - Takayama T
AD  - Department of Surgery, Nara Medical University, 840 Shijo-cho, 634-8522, 
      Kashihara, Nara, Japan, t-taka@naramed-u.ac.jp.
FAU - Matsumoto, Sohei
AU  - Matsumoto S
FAU - Wakatsuki, Kohei
AU  - Wakatsuki K
FAU - Tanaka, Tetsuya
AU  - Tanaka T
FAU - Migita, Kazuhiro
AU  - Migita K
FAU - Ito, Masahiro
AU  - Ito M
FAU - Nakajima, Yoshiyuki
AU  - Nakajima Y
LA  - eng
PT  - Journal Article
DEP - 20140517
PL  - Japan
TA  - Surg Today
JT  - Surgery today
JID - 9204360
SB  - IM
MH  - Aged
MH  - Follow-Up Studies
MH  - Gastrectomy/*methods
MH  - Gastric Emptying
MH  - Gastroesophageal Reflux/etiology/prevention & control
MH  - Humans
MH  - Laparoscopy/*methods
MH  - Middle Aged
MH  - Neoplasm Staging
MH  - Organ Sparing Treatments/*methods
MH  - *Pylorus
MH  - Stomach Neoplasms/complications/pathology/*surgery
MH  - Treatment Outcome
EDAT- 2014/05/20 06:00
MHDA- 2015/08/11 06:00
CRDT- 2014/05/20 06:00
PHST- 2013/12/10 00:00 [received]
PHST- 2014/04/01 00:00 [accepted]
PHST- 2014/05/20 06:00 [entrez]
PHST- 2014/05/20 06:00 [pubmed]
PHST- 2015/08/11 06:00 [medline]
AID - 10.1007/s00595-014-0928-y [doi]
PST - ppublish
SO  - Surg Today. 2014 Dec;44(12):2332-8. doi: 10.1007/s00595-014-0928-y. Epub 2014 May 
      17.