JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 25, Issue 1 (January 2020)
Japanese

Laparoscopy assisted right hemicolectomy preceded by small incision : Usefulness for education of young surgeons Taichi MAFUNE 1 , Yukihito KOKUBA 1 , Yasuhito HISATSUNE 1 , Ryuichi OSHIMA 1 , Osamu SAJI 1 , Keiichi TANAKA 1 , Takehito OTSUBO 2 1Division of Gastroenterological and General Surgery, St. Marianna University School of Medicine, Yokohama City Seibu Hospital 2Division of Gastroenterological and General Surgery, St. Marianna University School of Medicine Keyword: 小切開先行 , 腹腔鏡補助下結腸右半切除術 , 教育 pp.3-9
Published Date 2020/1/15
DOI https://doi.org/10.11477/mf.4426200764
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 [Introduction] Given the prevalence of laparoscopic surgery for colorectal cancer, laparoscopic surgery training should be provided to young surgeons while ensuring surgical quality and safety. In this study, we examined whether laparoscopy assisted right hemicolectomy preceded by small incision performed by young inexperienced surgeons in our hospital can ensure surgical quality and safety. [Methods] The subjects were 82 patients who underwent the above described surgery for cancer from 2014 to 2017. The surgical quality was judged by operation time, hemorrhage volume, degree of lymphadenectomy, number of dissected lymph nodes, presence of complications, and number of postoperative hospital days. We divided the subjects into three groups depending on the experiences of the surgeons. [Results] The above described indicators for surgical quality were compared among the three groups. There was no significant difference in any of the indicators. [Conclusion] The laparoscopy assisted right hemicolectomy preceded by small incision was found to be a highly safe surgical procedure for which the quality was maintained even for inexperienced surgeons. This indicated that the procedure is suitable for educational purpose.


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基本情報

13446703.25.1.jpg
日本内視鏡外科学会雑誌
25巻1号 (2020年1月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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