DSpace
English 
 

Hirosaki University Repository for Academic Resources >
30 医学部・医学研究科・保健学研究科 >
30b 弘前医学 = Hirosaki Medical Journal >
67巻1号 >

このアイテムは、前月 16 件の閲覧がありました。

このアイテムの引用には次の識別子を使用してください: http://hdl.handle.net/10129/5924

このアイテムのファイル:

ファイル 記述 サイズフォーマット
HirosakiMedJ_67(1)_86.pdf157 kBAdobe PDF
見る/開く
タイトル: Short-Term Outcomes of Laparoscopic Lateral Dissection for Lower Rectal Cancer
著者: Morohashi, Hajime
Sakamoto, Yoshiyuki
Ichinohe, Daichi
Jin, Hiroyuki
Sato, Kentaro
Yoshida, Tatsuya
Miura, Takuya
Akasaka, Harue
Nagase, Hayato
Okano, Kensuke
Yoshida, Eri
Aoki, Kazunori
Watanabe, Nobukazu
Takahashi, Seiji
Hakamada, Kenichi
著者所属: Department of Gasroenterological surgery, Hirosaki University
Department of Gasroenterological surgery, Hirosaki University
Department of Surgery, Mutsu general hospital
Department of Surgery, Ajigasawa hospital
Department of Gasroenterological surgery, Hirosaki University
Department of Gasroenterological surgery, Hirosaki University
Department of Gasroenterological surgery, Hirosaki University
Department of Surgery, Aomori kousei hospital
Department of Surgery, Hakodate Municipal hospital
Department of Surgery, Aomori Prefectural central hospital
Department of Surgery, Kuroishi general hospital
Department of Surgery, Aomori city hospital
Department of Surgery, Aomori kousei hospital
Department of Surgery, Kuroishi general hospital
Department of Gasroenterological surgery, Hirosaki University
発行日: 29-Jul-2016
出版者: 弘前大学大学院医学研究科・弘前医学会
誌名: 弘前医学
巻: 67
号: 1
開始ページ: 86
終了ページ: 91
ISSN: 0439-1721
キーワード: Rectal Cancer
Laparoscopy
Lateral lymph node dissection
抄録: Backgroud: In Japan, the recommended standard surgical procedure for advanced lower rectal cancer includes total mesorectal excision (TME) plus central D3 lymph node dissection and bilateral lateral lymph node dissection (LLND). Laparoscopic LLND is performed in the pelvis, which is an anatomically complex and small operative field and thus, requires an extremely high level of skill. Laparoscopic LLND has been introduced following the recent expansion in the application of laparoscopic surgery for advanced lower rectal cancer. Patients and methods: The subject sample comprised 79 patients who underwent lateral dissection, including 61 patients who underwent laparotomic lateral dissection and 18 patients who underwent laparoscopic lateral dissection. Clinical characteristics and the oncological outcome were compared between groups. Results: The mean surgical duration in the laparoscopy group was 285 min, which was significantly longer than the 165 min in the laparotomy group( p < 0.001). The mean blood loss amount was 131 g in the laparoscopy group, which was significantly less than the mean amount of 407 g in the laparotomy group (p < 0.001) There was no significant difference in complications. Conclusion: The short-term outcomes of laparoscopic LLND were good, indicating that the procedure can be performed safely and is likely to be useful.
URI: http://hdl.handle.net/10129/5924
テキストバージョン: publisher
出現コレクション:67巻1号

csv refer

このリポジトリに保管されているアイテムは、他に指定されている場合を除き、著作権により保護されています。

 

Valid XHTML 1.0! Web of Science®, Thomson Scientific   DSpace Software Copyright © 2002-2006 MIT and Hewlett-Packard - ご意見をお寄せください