Evaluation of respiratory function after laparoscopic distal gastrectomy Yoshinori TANAKA 1,2 , Shinya TANIMURA 1,3 , Yosuke FUKUNAGA 1,3 , Masashi TAKEMURA 1,4 , Yushi FUJIWARA 1,5 , Masayuki HIGASHINO 1,2 1Department of Gastroenterological Surgery, Osaka City General Hospital 2Department of Surgery, Minami-Osaka Hospital 3Department of Gastrointestinal Surgery, Cancer Institute Ariake Hospital 4Department of Upper Gastrointestinal Surgery, Hyogo College of Medicine 5Department of Surgery, Osaka City Juso Hospital Keyword: 腹腔鏡下胃切除術 , 呼吸機能 , 低侵襲手術 pp.453-458
Published Date 2011/8/15
DOI https://doi.org/10.11477/mf.4426100659
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 Laparoscopic surgery for gastric cancer has been reported to have advantages over conventional open surgery because it is less painful and it has more rapid postoperative recovery. However, no objective indices have been fully demonstrated to evaluate the minimal invasiveness of laparoscopic gastrectomy. We have divided the patients who underwent distal gastrectomy for gastric cancer into three groups, according to the surgical approaches used: completely laparoscopic surgery, laparoscopy-assisted surgery, and hand-assisted laparoscopic surgery (HALS). Pre-and postoperative respiratory functions such as vital capacity and forced expiratory volume in one second were measured for all patients. The postoperative reduced rate against preoperative values was calculated. Postoperative respiratory function was statistically excellent in completely laparoscopic surgery group compared to the other two groups. In conclusion, completely laparoscopic distal gastrectomy was found to be most minimally invasive for distal gastrectomy in regards to respiratory function.

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