(Lee Youn-Keun) - Catholic University College of Medicine Department of Surgery
¼º¼÷ȯ(Sung Sook-Whan) - Catholic University College of Medicine Department of Thoracic and Cardiovascular Surgery
¹ÚÀç±æ(Park Jae-Kil) - Catholic University College of Medicine Department of Thoracic and Cardiovascular Surgery
¹ÚÁ¶Çö(Park Cho-Hyun) - Catholic University College of Medicine Department of Surgery
¼Û±³¿µ(Song Kyo-Young) - Catholic University School of Medicine Department of Surgery
Abstract
Purpose: We report on a novel method and outcomes of laparoscopic gastric tubing with pyloromyotomy.
Methods: The abdominal procedure includes laparoscopic gastric mobilization, celiac axis lymph node dissection, for-mation of the gastric tube, and pyloromyotomy. Between January 2009 and April 2013, our minimally invasive esoph-agectomy (MIE) was performed on 54 patients with esoph-ageal cancer. The short-term outcomes, including post-operative complications, were analyzed.
Results: There were no cases of conversion to open surgery. Of 54 patients, 52 patients had squamous cell carcinoma (SCC) and two had adenocarcinoma. The total operative time was 349.8¡¾77.4 minutes, of which 90.6¡¾27.6 minutes was re-quired for the abdominal procedure. The mean estimated op-erative blood loss during the abdominal procedure was 40.0 ¡¾355.5 ml. The postoperative complication rate was 24.1%; three patients died of pneumonia.
Conclusion: Laparoscopic gastric tubing with pyloromy-otomy is a feasible and safe treatment option for patients with esophageal cancer.
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Esophageal cancer, Minimally invasive, Laparoscopy, Gastric tubing, Feasibility
KMID :
1035920140170020021
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