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Masao Tanaka - One of the best experts on this subject based on the ideXlab platform.

  • IntraabdomInal roux en y reconstructIon wIth a novel staplIng technIque after laparoscopIc dIstal gastrectomy
    Gastric Cancer, 2009
    Co-Authors: Hirokazu Noshiro, Kenoki Ohuchida, Masahiko Kawamoto, Mikimasa Ishikawa, Akihiko Uchiyama, Shuji Shimizu, Masao Tanaka
    Abstract:

    LaparoscopIc gastrectomy Is wIdely used as mInImally InvasIve surgery for gastrIc carcInoma. BIllroth I or Roux-en-Y reconstructIon Is commonly performed after laparoscopIc dIstal gastrectomy (LDG). Roux-en-Y reconstructIon after LDG Is one of the best methods for reconstructIon of the alImentary tract when BIllroth I reconstructIon Is dIffIcult. There are few reports of Intracorporeal Roux-en-Y reconstructIon after LDG because of the technIcal dIffIcultIes of such a procedure. In partIcular, In the case of a very small gastrIc remnant, gastrojejunostomy usIng endoscopIc lInear staplers becomes more complIcated. We developed a new technIque for Intracorporeal Roux-en-Y reconstructIon: a modIfIed staplIng technIque to allow the gastrojejunostomy to be made on the stomach transectIng lIne that Is applIcable even when the resIdual stomach Is very small. Roux-en-Y reconstructIon wIth our modIfIed technIque was performed In sIx patIents. There was no IntraoperatIve complIcatIon or conversIon to mInIlaparotomy or conventIonal celIotomy In any patIent. Oral Intake was easy and adequate after surgery. The present Roux-en-Y reconstructIon procedure Is feasIble. HereIn we descrIbe an IntraabdomInal Roux-en-Y reconstructIon wIth a modIfIed staplIng technIque after LDG.

  • delayed gastrIc emptyIng after BIllroth I pylorus preservIng pancreatoduodenectomy effect of postoperatIve tIme and cIsaprIde
    Annals of Surgery, 1999
    Co-Authors: Torahiko Takeda, Masao Tanaka, Junichi Yoshida, Hiroaki Matsunaga, Koji Yamaguchi, Kazuo Chijiiwa
    Abstract:

    ObjectIveTo study the recovery course of gastrIc emptyIng after BIllroth I pylorus-preservIng pancreatoduodenectomy (PPPD) and therapeutIc effects of cIsaprIde.MethodsTo examIne gastrIc emptyIng, acetamInophen was gIven, admIxed In a pasty lIquId meal, to 16 patIents undergoIng PPPD before surgery a

Kazuo Chijiiwa - One of the best experts on this subject based on the ideXlab platform.

Jin Jo Kim - One of the best experts on this subject based on the ideXlab platform.

  • delta shaped anastomosIs a good substItute for conventIonal BIllroth I technIque wIth comparable long term functIonal outcome In totally laparoscopIc dIstal gastrectomy
    Surgical Endoscopy and Other Interventional Techniques, 2015
    Co-Authors: Han Hong Lee, Seung Man Park, Kyo Young Song, Jeong Sun Lee, Jin Jo Kim
    Abstract:

    Background Delta-shaped anastomosIs (DA) Is a new BIllroth I reconstructIon technIque usIng only a laparoscopIc lInear stapler under a totally laparoscopIc approach. The present study compared the outcomes of DA wIth those of laparoscopIc conventIonal BIllroth I anastomosIs (cBIA).

  • comparIson of an uncut roux en y gastrojejunostomy wIth a BIllroth I gastroduodenostomy after totally laproscopIc dIstal gastrectomy
    Journal of Gastric Cancer, 2007
    Co-Authors: Jin Jo Kim, Wook Kim, Sung Keun Kim, Kyong Hwa Jun, Kyo Young Song, Hyung Min Chin, Hae Myung Jeon, Cho Hyun Park, Seung Man Park, Keun Woo Lim
    Abstract:

    Purpose: An uncut Roux-en-Y gastrojejunostomy has been known to be effectIve In preventIng bIle reflux gastrItIs In the remnant stomach and the Roux stasIs syndrome. MaterIals and Methods: To evaluate the usefulness of a totally laparoscopIc uncut Roux-en-Y gastrojejunostomy (TLuRYGJ) after a dIstal gastrectomy, we revIewed the medIcal records of 19 consecutIve patIents that underwent a TLuRYGJ at our InstItutIon, and 11 consecutIve patIents who underwent a totally laparoscopIc BIllroth I gastrectomy (TLB-I) durIng the same perIod. Results: PostoperatIve gastroIntestInal symptoms related to the postgastrectomy syndrome and the VIsIck classIfIcatIon at sIx months after surgery were not dIfferent In the two groups; however, there was no case of symptomatIc bIle reflux gastrItIs and only one case of delayed gastrIc emptIng, for whIch medIcatIon was requIred, In the TLuRYGJ group. The endoscopIc fIndIngs of the remnant stomach for bIle reflux gastrItIs at sIx months after surgery were better In the TLuRYGJ group than In the TLB-I group. ConclusIon: A TLuRYGJ was found to be effectIve In preventIng bIle reflux gastrItIs and the Roux stasIs syndrome.

Jae Moon Bae - One of the best experts on this subject based on the ideXlab platform.

  • short term outcomes of Intracorporeal delta shaped gastroduodenostomy versus extracorporeal gastroduodenostomy after laparoscopIc dIstal gastrectomy for gastrIc cancer
    Journal of Gastric Cancer, 2019
    Co-Authors: Yoon Young Choi, You Na Kim, Mingew Choi, Jun Ho Lee, Tae Sung Sohn, Jae Moon Bae, Sung Kim
    Abstract:

    Background BIllroth I anastomosIs Is one of the most common reconstructIon methods after dIstal gastrectomy for gastrIc cancer. Intracorporeal BIllroth I (ICBI) anastomosIs and extracorporeal BIllroth I (ECBI) anastomosIs are wIdely used In laparoscopIc surgery. Here we compared ICBI and ECBI outcomes at a major gastrIc cancer center. Methods We retrospectIvely analyzed data from 2,284 gastrIc cancer patIents who underwent laparoscopIc dIstal gastrectomy between 2009 and 2017. We dIvIded the subjects Into ECBI (n=1,681) and ICBI (n=603) groups, compared the patIents' clInIcal characterIstIcs and surgIcal and short-term outcomes, and performed rIsk factor analyses of postoperatIve complIcatIon development. Results The ICBI group experIenced shorter operatIon tImes, less blood loss, and shorter hospItal stays than the ECBI group. There were no clInIcally sIgnIfIcant Intergroup dIfferences In dIet InItIatIon. Changes In whIte blood cell counts and C-reactIve proteIn levels were sImIlar between groups. Grade II-IV surgIcal complIcatIon rates were 2.7% and 4.0% In the ECBI and ICBI groups, respectIvely, wIth no sIgnIfIcant Intergroup dIfferences. Male sex and a body mass Index (BMI) ≥30 were Independent rIsk factors for surgIcal complIcatIon development. In the ECBI group, patIents wIth a BMI ≥30 experIenced a sIgnIfIcantly hIgher surgIcal complIcatIon rate than those wIth a lower BMI, whIle no such dIfference was observed In the ICBI group. ConclusIon The surgIcal safety of ICBI was sImIlar to that of ECBI. Although the chosen anastomotIc technIque was not a rIsk factor for surgIcal complIcatIons, ECBI was more vulnerable to surgIcal complIcatIons than ICBI In patIents wIth a hIgh BMI (≥30).

  • cIrcular stapler sIze and rIsk of anastomotIc complIcatIons In gastroduodenostomy for gastrIc cancer
    World Journal of Surgery, 2012
    Co-Authors: Mingew Choi, Tae Sung Sohn, Jae Moon Bae, Dae Hoon Kim, Jae Hyung Noh
    Abstract:

    Background A BIllroth I reconstructIon wIth a mechanIcally sutured anastomosIs Is commonly performed In gastrIc cancer patIents. Some surgeons prefer to use large cIrcular staplers durIng suturIng to mInImIze rIsks for anastomotIc strIcture and gastrIc stasIs after surgery. The effect of stapler sIze on anastomotIc complIcatIons has not been valIdated.

Koji Nakada - One of the best experts on this subject based on the ideXlab platform.