Laparoscopy-assisted Billroth I gastrectomy compared with conventional open gastrectomy
Laparoscopy-assisted Billroth I gastrectomy compared with conventional open gastrectomy
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DOI：
10.1001/archsurg.135.7.806
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发表时间：
2000-07-01
影响因子：
--
通讯作者：
Kitano, S
中科院分区：
文献类型：
--
作者：
Adachi, Y;Shiraishi, N;Kitano, S
Background: Although several studies compare surgical results of laparoscopic and open colonic resections, there is no study of laparoscopic gastrectomy compared with open gastrectomy.Hypothesis: When compared with conventional open gastrectomy, laparoscopy-assisted Billroth I gastrecromy is less invasive in patients with early-stage gastric cancer.Design: Retrospective review of operative data, blood analyses, and postoperative clinical course after Billroth I gastrectomy.Setting: University hospital in Japan.Patients: The study included 102 patients who were treated with Billroth I gastrectomy for early-stage gastric cancer from January 1993 to July 1999: 49 with laparoscopy-assisted gastrectomy and 53 with conventional open gastrectomy.Main Outcome Measures: Demographic features examined were operation time, blood loss; blood cell counts of leukocytes, granulocytes, and lymphocytes; serum levels of C-reactive protein, interleukin 6, total protein, and albumin; body temperature; weight loss; analgesic requirements; time to first flatus; time to liquid diet; length of postoperative hospital stay, complications; proximal margin of the resected stomach; and number of harvested lymph nodes.Results: Significant differences (P
