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Laparoscopically assisted pylorus-preserving gastrectomy.

机译:腹腔镜辅助保留幽门的胃切除术。

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Background: The aim of this study was to describe the procedure of laparoscopically assisted pylorus-preserving gastrectomy (LAPPG), and to evaluate intra- and postoperative conditions of the patients. Methods: We performed pylorus-preserving gastrectomy under laparoscopic observation, including regional lymph node dissection in early gastric cancer of the lower body. Seven patients were treated (two women and five men) using this procedure between April 1996 and April 1999. Results: All the patients showed good postoperative recovery, and no signs of recurrence were recognized. There were no intraoperative or postoperative complications. Less pain, a rapid recovery, and good cosmetic results were noted. The patients exhibited little weight loss after surgery, and none demonstrated the dumping syndrome. Endoscopic examinations performed postoperatively did not indicate the presence of reflux gastritis or esophagitis. Conclusions: Our procedure of LAPPG may be useful for early gastric cancer, especially intramucosal cancer.
机译:背景:本研究的目的是描述腹腔镜辅助的保留幽门的胃切除术(LAPPG)的程序,并评估患者的术中和术后情况。方法:我们在腹腔镜观察下进行了保留幽门的胃切除术,包括下半身早期胃癌的局部淋巴结清扫术。在1996年4月至1999年4月期间,使用该程序治疗了7例患者(两名女性和五名男性)。结果:所有患者术后恢复良好,未发现复发迹象。没有术中或术后并发症。注意到较少的疼痛,快速的恢复和良好的美容效果。手术后患者的体重减轻很小,没有人表现出倾倒综合征。术后内镜检查未发现反流性胃炎或食管炎的存在。结论:我们的LAPPG手术可能对早期胃癌特别是粘膜内癌有用。

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