Abstract:
PURPOSE:Proximal gastrectomy and lymph node dissection are often performed for T1 cancer of the gastric cardia; however, direct esophagogastrostomy is frequently complicated by reflux esophagitis. We describe a simple technique for preventing esophageal reflux and discuss its results. METHODS:This technique is indicated for T1 cancer of the gastric cardia without lymphadenopathy. Partial resection, including the lesion, is performed, preserving the vagus nerve and lower esophageal sphincter (LES). Lymph node dissection is done around the left gastric, celiac, and splenic arteries. The esophagus is then anastomosed to the anterior wall in the center of the remnant stomach. RESULTS:We evaluated the results of this procedure in eight patients. X-ray films showed no esophageal reflux in either the supine or the right decubitus position. None of the patients complained of reflux or other dyscrasic symptoms, and none had any feeling of microgastria. One patient had some localized erosion near the anastomosis. CONCLUSIONS:This simple and safe technique does not result in post-gastrectomy syndrome or microgastria, and the risk of leaving cancer cells is minimal.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Hirai T,Matsumoto H,Iki K,Hirabayashi Y,Kawabe Y,Ikeda M,Yamamura M,Hato S,Urakami A,Yamashita K,Tsunoda T,Haruma Kdoi
10.1007/s00595-006-3265-ysubject
Has Abstractpub_date
2006-01-01 00:00:00pages
874-8issue
10eissn
0941-1291issn
1436-2813journal_volume
36pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::The efficacy of intrahepatic cis-diamminedichloroplatinum (II), cisplatin, administered via the hepatic artery in combination with concomitant clamping of the abdominal aorta beneath the diaphragm against metastatic liver tumors in rats was evaluated. When 2.5 or 5 mg/kg of cisplatin was injected intra-arterially (i.a...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02473393
更新日期:1994-01-01 00:00:00
abstract::Hepatic steatosis is one of the most common hepatic disorders in developed countries. The epidemic of obesity in developed countries has increased with its attendant complications, including metabolic syndrome and non-alcoholic fatty liver disease. Steatotic livers are particularly vulnerable to ischemia/reperfusion i...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-013-0736-9
更新日期:2014-09-01 00:00:00
abstract::The spleen is one of the organs most commonly injured by blunt abdominal trauma. It plays an important role in immune response to infections, especially those sustained by encapsulated bacteria. Nonoperative management (NOM), comprising clinical and radiological observation with or without angioembolization, is the tr...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-020-02177-2
更新日期:2020-11-16 00:00:00
abstract:PURPOSE:Postoperative bowel infarction is a major contributing factor to the high mortality rate associated with acute thromboembolism of the superior mesenteric artery (SMA). This study was conducted to evaluate the prophylactic role of thrombectomy to prevent postoperative mesenteric infarction. METHODS:An autologou...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200028
更新日期:2002-01-01 00:00:00
abstract::Lymph node dissection is a critical part of surgery for colorectal cancer. Japanese D3 and complete mesocolic excision are two unique principles for lymph node dissection in colorectal cancer. Laparoscopic surgery magnifies the targets and provides insight about the micro-anatomy through high-quality, high-definition ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-017-1595-6
更新日期:2018-03-01 00:00:00
abstract:PURPOSE:The morbidity and mortality associated with lung cancer surgery in patients on chronic hemodialysis (CHD) is high; however, the relationship between the severity of postoperative complications and clinicopathological features is unclear. METHODS:Among 1214 consecutive patients who underwent pulmonary resection...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-1773-9
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:Acute appendicitis has been suggested to be more aggravated in hemodialysis (HD) patients in comparison to non-HD patients but only scanty evidence demonstrates the conditions. METHODS:A retrospective cohort study was done for HD and non-HD patients with a discharge diagnosis of acute appendicitis in a single ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0349-8
更新日期:2013-09-01 00:00:00
abstract::We present herein a case of a 40-year-old male with early gallbladder cancer derived from a Rokitanski-Aschoff sinus (RAS). The patient originally presented at our hospital with epigastric discomfort, following which a diagnosis of adenomyomatosis (ADM) of the gallbladder was made, and a cholecystectomy performed. His...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00309054
更新日期:1993-01-01 00:00:00
abstract::We performed conservative surgery for small differentiated thyroid carcinoma, but also inadvertently carried out minimal insufficient surgery, such as enucleation (Ex) or partial lobectomy (pLx) without regional node dissection for malignant thyroid nodules. In this study, the long-term postoperative outcome after suc...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02385800
更新日期:1997-01-01 00:00:00
abstract::We report herein the unusual case of a man who was diagnosed as having sporadic medullary thyroid carcinoma (MTC) at the age of 29 years, and subsequently followed up for a period of 18 years. A total thyroidectomy with radical neck dissection was initially performed, followed by a stable interval of 16 years with reg...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482271
更新日期:1999-01-01 00:00:00
abstract::We describe herein the unusual case of a 76-year-old woman who was diagnosed as having sigmoid colon cancer after presenting with complete rectal prolapse. The rectal prolapse was considered to have been caused by constipation accelerated by the colon cancer. The relationship between colorectal cancer and rectal prola...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02483019
更新日期:1999-01-01 00:00:00
abstract::Abdominal incisional hernias represent the most common wound complication after abdominal surgery and infected abdominal incisional hernias are difficult to manage. We describe a simple, safe and effective method of using a free fascia lata patch to repair a large infected incisional hernia. This procedure involves th...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-014-0936-y
更新日期:2015-01-01 00:00:00
abstract::A rare case of cecal volvulus in cerebral palsy that was preoperatively diagnosed and surgically treated without complications is herein reported. A 45-year old man, who had been treated for cerebral palsy as a result of a neonatal cerebral hemorrhage, was admitted to our hospital because of abdominal pain and vomitin...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3581-x
更新日期:2008-01-01 00:00:00
abstract::For the purpose of predicting postoperative local recurrence and/or distant metastasis in differentiated thyroid cancer, a discriminant analysis was done. To assess the reliability of this method and the induced function, simulation was done by using random samples under various conditions. Simulation revealed that th...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311619
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:Suppressor of cytokine signaling-3 (SOCS3) is a negative feedback inhibitor of cytokine signaling with T-cell-mediated immunosuppressive effects on obliterative bronchiolitis (OB). In this study, we aimed to investigate the impact of T-cell-specific overexpression of SOCS3 using a murine heterotopic tracheal tr...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-018-1753-5
更新日期:2019-05-01 00:00:00
abstract::A 2-year-old female was hospitalized because of generalized peritonitis with pneumoperitoneum. A laparotomy disclosed a perforated ulcer of the cecum. A resection of the perforated portion of the cecum was then performed. Histopathologic examinations confirmed that the ulcer was non-specific in nature. No recurrence w...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00308750
更新日期:1992-01-01 00:00:00
abstract:PURPOSE:In 2003, the Diagnosis Procedure Combination (DPC)-based payment system was introduced on a trial basis in 82 major Japanese hospitals. We analyzed the influence of this system on hospital revenue and expenditure, focusing on whether it reduces the length of stay in hospital (LOS), particularly in the surgical ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3203-z
更新日期:2006-01-01 00:00:00
abstract::Cytomegalovirus (CMV) infection is associated with significant morbidity and mortality in immunocompromised patients. In immunocompetent individuals, the infection is usually subclinical but it can sometimes be life threatening. We describe a case of fatal CMV proctitis in a 71-year-old man following an Ivor-Lewis eso...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3335-1
更新日期:2007-01-01 00:00:00
abstract::We describe herein an extremely unusual case of a gastrointestinal stromal tumor (GIST) of the lesser omentum. A 45-year-old man was admitted to our hospital with an intra-abdominal mass that was subsequently misdiagnosed as a submucosal tumor of the stomach. The tumor arose from the lesser omentum and was removed wit...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950170077
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to identify the risk factors for postoperative pulmonary complications and to develop a scoring system to predict the surgical outcomes in lung cancer patients. METHODS:Clinical data were collected from January 1990 to March 2007 for 1713 patients who underwent lung cancer surgery...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-009-4182-7
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:The impact of anti-tumor necrosis factor alpha (TNFα) treatment for Crohn's disease (CD) on surgical outcomes is still controversial. The aim of this study was to assess the feasibility of laparoscopic surgery for CD patients treated preoperatively with anti-TNFα agents. METHODS:We investigated, retrospectivel...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-016-1375-8
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:We evaluated the technical and oncological safety of laparoscopic multivisceral resection (MVR) in selected patients with locally advanced colon cancer (LACC). METHODS:We compared the clinical backgrounds, and short- and long-term outcomes of patients who underwent laparoscopic vs. those who underwent open MVR...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-01986-9
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:Postprandial hyperglycemia is recognized as an important risk factor for developing type 2 diabetes; it is also common in patients after a gastrectomy and is likely to become exacerbated after a total gastrectomy rather than after a distal gastrectomy. In this study, we investigated the glucose and insulin resp...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3711-5
更新日期:2008-01-01 00:00:00
abstract::We examined the possible factors that could contribute to the impairment of polymorphonuclear neutrophil (PMN) bactericidal activities in patients with esophageal cancer, based on the discovery that a depression of the intracellular killing (KI) activity, with an elevation of the superoxide anion-producing capacity (S...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311251
更新日期:1995-01-01 00:00:00
abstract::We present herein the case of a pyogenic liver abscess developing from hepatic ischemia caused by resection of the right hepatic artery when a left hemihepatectomy with caudate lobectomy and extrahepatic bile duct resection was performed for cholangiocellular carcinoma. Postoperative cholangiography revealed communica...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01833737
更新日期:1994-01-01 00:00:00
abstract::The effects of changing the calcium content of a continuous warm hyperkalemic crystalloid cardioplegia (CWCP) were investigated in an isolated rat heart preparation. The hearts were divided into eight groups of six each. A control group consisted of fresh nonarrested hearts and the remaining seven groups consisted of ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482780
更新日期:1999-01-01 00:00:00
abstract::A retrospective study was conducted to establish the criteria for performing a pylorus-preserving gastrectomy. This study was performed on 491 patients who had cancer of the middle-third stomach and had been curatively treated with a distal gastrectomy. The incidence of node metastasis for each lymph node station (the...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170168
更新日期:2001-01-01 00:00:00
abstract::Gastroesophageal reflux associated with anatomic and functional abnormalities of the esophagus may be encountered following the repair of a congenital diaphragmatic hernia (CDH). We report herein the case of a newborn male infant with CDH found to have an air-filled paravertebral structure. Upper gastrointestinal seri...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170012
更新日期:2001-01-01 00:00:00
abstract::Mesenchymal hamartoma of the liver (MHL) is an uncommon benign tumor found primarily in children younger than 2 years of age. We report a rare case of MHL with a daughter nodule and atypical histological findings in a 14-month-old girl. On admission, computed tomography, magnetic resonance imaging, and angiography sho...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3494-8
更新日期:2007-01-01 00:00:00
abstract:PURPOSES:Preoperative chemoradiation is a potential treatment option for localized gastric adenocarcinoma (GAC). Currently, the response to chemoradiation cannot be predicted. We analyzed the pretreatment maximum standardized uptake value (SUVmax) and total lesion glycolysis (TLG) on positron emission tomography/comput...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02018-2
更新日期:2020-10-01 00:00:00