Clinical Outcomes and Quality of Life According to Types of Reconstruction Following Laparoscopy-assisted Distal Gastrectomy for Gastric Cancer
Clinical Outcomes and Quality of Life According to Types of Reconstruction Following Laparoscopy-assisted Distal Gastrectomy for Gastric Cancer
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DOI：
10.1097/sle.0000000000000021
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发表时间：
2015-02-01
影响因子：
1
通讯作者：
Otsuji, Eigo
中科院分区：
文献类型：
--
作者：
Komatsu, Shuhei;Ichikawa, Daisuke;Otsuji, Eigo
目的：腹腔镜辅助远端胃切除术(LADG)已被广泛接受，更多的是在介绍阶段进行的。这项研究旨在根据胃癌LADG术后重建的类型确定临床结果和生活质量(QOL)。患者和方法：2007-2010年间，连续117例患者接受LADG。结果：虽然两组患者在性别、体重指数、PN分期、PT分期、淋巴结清扫范围等背景因素上无显著差异，但Billroth-I型重建术多见于低位胃癌(P=0.0173)，手术时间短(P<0.05)。
Purposes: Laparoscopy-assisted distal gastrectomy (LADG) has gained wide acceptance and is being more commonly performed at the period of introduction. This study was designed to determine the clinical outcomes and quality of life (QOL) according to types of reconstruction following LADG for gastric cancer.Patients and Methods: Between 2007 and 2010, 117 consecutive patients underwent LADG. These patients were classified into 2 groups: Billroth-I group (n=74) and Roux-en-Y group (n=48).Results: Although there were no significant differences in background factors such as sex, body mass index, pN stage, pT stage, or extent of lymphadenectomy between both the groups, patients with Billroth-I reconstruction were found more frequently in the lower portion of gastric cancer (P=0.0173), shorter surgical durations (P