Abstract:
PURPOSE:This study was conducted to determine whether establishing the proximal resection line using India ink tattooing can ensure safe resection margins during totally laparoscopic distal gastrectomy. METHODS:This retrospective study included 81 patients who underwent totally laparoscopic distal gastrectomy for gastric cancer on the lower two-thirds of the stomach. The proximal resection margins were analyzed with respect to the macroscopic type and clinical T stage, and the intraoperative appearance of the stain on the serosa was classified by reviewing surgical videos. RESULTS:R0 resection was performed in all patients. The rates of the intended margins were 89.2% in patients without a frozen section diagnosis and 84.2% in patients with differentiated type lesions who underwent a frozen section diagnosis; however, most patients with undifferentiated advanced lesions failed to achieve the intended resection margins. Intraoperative appearance revealed that 85.2% of patients had localized type stains, whereas 11.1% had widespread-type stains. CONCLUSIONS:Our procedure to determine the proximal resection line in totally laparoscopic distal gastrectomy is oncologically safe. However, careful observation of the resected specimen and a frozen section analysis should be performed for undifferentiated advanced lesions.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Yamazaki Y,Kanaji S,Takiguchi G,Urakawa N,Hasegawa H,Yamamoto M,Matsuda Y,Yamashita K,Matsuda T,Oshikiri T,Nakamura T,Suzuki S,Kakeji Ydoi
10.1007/s00595-020-02057-9subject
Has Abstractpub_date
2021-01-01 00:00:00pages
111-117issue
1eissn
0941-1291issn
1436-2813pii
10.1007/s00595-020-02057-9journal_volume
51pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract:PURPOSE:Knowledge is limited about the efficacy, safety, and long-term outcomes of bariatric surgery in older adult patients with obesity. METHODS:Fifty-six patients aged ≥ 60 years who underwent bariatric surgery, as either sleeve gastrectomy or gastric bypass, were matched for sex, baseline body mass index (BMI) and...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02079-3
更新日期:2021-01-01 00:00:00
abstract::Primary hepatic neuroendocrine carcinoma is an extremely rare tumor of the liver. We herein describe a case of primary hepatic neuroendocrine carcinoma with lymph node metastases, coexisting with hepatocellular carcinoma, on a background of hepatitis C cirrrhosis, in a 72-year-old man. Abdominal ultrasonography and co...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950300048
更新日期:2003-01-01 00:00:00
abstract::We report a rare case of four separate gastric ruptures resulting from blunt abdominal trauma that were successfully repaired by primary closure. A 22-year-old man injured in a motorcycle accident was admitted to our hospital where physical and radiological examinations confirmed the need for abdominal exploration. La...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200201
更新日期:2002-01-01 00:00:00
abstract::In this study, the risk factors related to intraperitoneal septic complications occurring after hepatectomy (IPSCH) as well as the effect of various perioperative variables on the outcome of IPSCH between 1985 and 1990 were analyzed. Twenty-one of 211 patients (10.0%) developed IPSCH. The findings in the patients with...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00309385
更新日期:1995-01-01 00:00:00
abstract::The prognosis for advanced gastrointestinal stromal tumor (GIST) is poor. However, recent reports from Europe have described the effects of imatinib against metastatic GIST. We herein report the case of a Japanese patient treated with imatinib for advanced GIST. Imatinib at 400 mg daily was given to an adult with mult...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2890-6
更新日期:2005-01-01 00:00:00
abstract::Heart failure mainly caused by ischemic or dilated cardiomyopathy is a life-threatening disorder worldwide. The previous work in cardiac surgery has led to many excellent surgical techniques for treating cardiac diseases, and these procedures are now able to prolong the human lifespan. However, surgical treatment for ...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-015-1149-8
更新日期:2016-02-01 00:00:00
abstract:PURPOSE:We designed an open-labeled, prospective, randomized, controlled clinical trial to test the efficacy of topical lanolin ointment (PureLan) and bovine type I collagen spray (Gelfix) in the treatment of childhood anal fissures. METHODS:Seventy-one children with acute anal fissure were divided randomly into three...
journal_title:Surgery today
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00595-009-4141-3
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:Hepatic hydatid cysts (HHCs) are a parasitic infestation caused by several species of Echinococcus. We examined the clinical features of HHCs and evaluated the results of various surgical procedures. METHODS:One hundred and sixty-nine patients aged between 17 and 84 years underwent surgery for HHCs within a 12...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3398-z
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:A large animal model of hypoxia is necessary to develop a new therapeutic method for respiratory failure. METHODS:The experiments were performed on six pigs weighing from 15 to 19 kg. Under general anesthesia the left chest was opened and the left main bronchus was closed by a stapler. A Swan-Ganz catheter was...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3067-7
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:We investigated the expression of cyclooxygenase (Cox-1 and Cox-2) in mammary tissues from patients with breast cancer. METHODS:We used reverse transcriptase-polymerase chain reaction (RT-PCR) and immunohistochemistry. RESULTS:The cancer cells showed very weak expression of Cox-1, but strong expression of imm...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2606-3
更新日期:2003-01-01 00:00:00
abstract::An experimental study was conducted using a canine model to elucidate whether the once transected vagal nerve can be conveniently anastomosed, and to determine when and to what degree the vagorrhaphy retains its functions. In the vagorrhaphy group (n = 5), the anterior and posterior vagal trunks were transected 1.5 cm...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02384988
更新日期:1997-01-01 00:00:00
abstract::Late graft failure of autologous vein grafts is associated with intimal hyperplasia resulting from the migration and proliferation of vascular smooth muscle cells (VSMCs). Endothelial nitric oxide synthase (eNOS) is an enzyme that synthesizes nitric oxide (NO). An impairment of NO-mediated vasorelaxation and increases...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-008-3912-6
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate the effectiveness of a wound closure method using a combination of subcuticular sutures and subcutaneous closed-suction drainage (SS closure) for preventing incisional surgical site infection (SSI) in loop ileostomy closure. METHODS:A total of 178 consecutive patients ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02128-x
更新日期:2020-09-04 00:00:00
abstract::Glucagon has a choleretic effect and also stimulates energy-consuming reactions, such as gluconeogenesis and ureogenesis in the liver. The effect of glucagon on energy metabolism in the liver was analyzed in rabbits with obstructive jaundice that had severe liver damage, indicated by significantly lower hepatic energy...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02215811
更新日期:1994-01-01 00:00:00
abstract::Although there are many reports describing spontaneous rupture of either the spleen or the liver, the simultaneous rupture of both organs is a rare event, especially during anticoagulant therapy. We report a case of spontaneous rupture of the spleen and liver in a patient on warfarin therapy for deep venous thrombosis...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2898-y
更新日期:2005-01-01 00:00:00
abstract::A 53-year-old woman who had end-stage renal disease and hypertension presented with back pain. Chest radiographs and chest computed tomography (CT) showed right pleural effusion with bilateral pleural masses. The patient underwent video-assisted thoracoscopic surgery (VATS) for a biopsy of the right pleural mass and f...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3709-z
更新日期:2008-01-01 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:PURPOSE:Pinch-off syndrome (POS) is a serious complication encountered during the long-term management of totally implantable access ports (TIAPs). The aim of this study was to examine the effect of ultrasound-guided infraclavicular axillary vein puncture to avoid POS in patients with long-term use of a TIAP. METHODS:...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0309-3
更新日期:2013-07-01 00:00:00
abstract:PURPOSE:Associations between the preoperative absolute neutrophil count (NC), lymphocyte count (LC), and monocyte count (MC) in the peripheral blood and the prognosis of colorectal cancer (CRC) patients have not been widely studied. METHODS:We enrolled 361 patients who underwent surgery for CRC between January 2007 an...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-018-1728-6
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Quickly differentiating patients who need emergency salvage operation for caustic ingestion injury from those who do not remains difficult. We thus conducted a retrospective study to assess whether arterial blood gas (ABG) analysis is helpful for deciding on the best management plan. METHODS:We divided 129 pat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s10595-002-2523-y
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:The aim of this study was to investigate the genetic mutation profiles of Japanese pancreatic ductal adenocarcinoma (PDAC) patients. METHODS:Next-generation sequencing was performed using FoundationOne® CDx on 17 PDAC patients who were treated by surgical resection at Kyushu University Hospital between Februar...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02123-2
更新日期:2020-09-04 00:00:00
abstract::When a patient with Ehlers-Danlos syndrome (EDS) presents with a vascular emergency, performing life-saving surgery can be difficult because of the profound fragility of the arterial tissue. We report the case of a 27-year-old woman with EDS in whom a spontaneous arterial rupture was successfully treated with transcat...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-003-2634-z
更新日期:2004-01-01 00:00:00
abstract::We report a case of esophageal schwannoma in a 46-year-old woman who presented with rapidly progressive dyspnea and dysphagia. Chest computed tomography showed a large mediastinal mass, which was extrinsically compressing the trachea, widely adjacent to the upper thoracic esophagus. We performed an axillary right thor...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3436-x
更新日期:2007-01-01 00:00:00
abstract:PURPOSE:To evaluate the safety of early chest tube removal after thoracic esophagectomy with three-field dissection. METHODS:This prospective cohort study evaluated patients who underwent thoracic esophagectomy with three-field dissection during 2013-2015. Patients were divided into two groups according to whether the...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-018-1694-z
更新日期:2018-11-01 00:00:00
abstract:PURPOSE:We assessed the utility of the tumor doubling time (TDT) for predicting the histological type of thymic epithelial tumors. METHODS:We retrospectively reviewed 130 patients with thymic epithelial tumors who underwent computed tomography two or more times before surgery. The patients were divided into low-risk t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01822-9
更新日期:2019-08-01 00:00:00
abstract:PURPOSE:To compare the safety of emergent laparoscopic cholecystectomy for acute acalculous cholecystitis (AAC) with surgery for acute calculous cholecystitis (ACC). METHODS:We retrospectively reviewed the perioperative records of 111 patients who underwent emergent laparoscopic cholecystectomy for acute cholecystitis...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-015-1173-8
更新日期:2016-03-01 00:00:00
abstract::Gastrointestinal hemorrhage is a rare complication of pancreatitis and can involve any of the peripancreatic vessels. The three cases reported herein illustrate the involvement of the splenic artery in diverse forms of pancreatitis: chronic pancreatitis, a pancreatic pseudocyst, and necrotizing pancreatitis. Bleeding ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01636785
更新日期:1994-01-01 00:00:00
abstract::We report herein the case of a ruptured liver abscess that resulted in pneumoperitoneum. A patient with diabetes mellitus presented with symptoms of acute abdomen. The plain abdominal radiograph and computed tomography findings revealed abdominal free air and a gas-containing liver abscess, whereby a diagnosis of a ru...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950170226
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Previous authors have suggested that a diverticulum of the vermiform appendix has a higher risk of perforation than acute appendicitis. Therefore, this study compared appendiceal diverticulitis with acute appendicitis to explain the characteristics of appendiceal diverticulitis. METHODS:Data for this study cam...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0152-6
更新日期:2012-04-01 00:00:00
abstract:PURPOSE:Prolonged postoperative ileus (POI) is a common complication after open abdominal surgery (OAS). Daikenchuto (DKT), a traditional Japanese medicine that peripherally stimulates the neurogenic pathway, is used to treat prolonged POI in Japan. To analyze whether DKT accelerates the recovery from prolonged POI aft...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01787-9
更新日期:2019-08-01 00:00:00