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Japanese

Hand-assisted Laparoscopic Distal Gastrectomy: with the Use of Wall-lift and a Per-oral Long-axis Circular Stapler Jun OHKI 1 , Hideo NAGAI 2 , Kazuya SAKUMA 2 , Masanobu HYODO 2 , Takeshi OHDAIRA 1 , Toru NAGASHIMA 1 , Kimiyuki SHIBUSAWA 2 , Kyotaro KANAZAWA 2 1Department of Surgery, Yuki Hospital 2Department of Surgery, Jichi Medical School Keyword: HALS , 吊り上げ法 , 経口長軸サーキュラーステイプラー(FLEXISTAP) pp.232-238
Published Date 1999/6/15
DOI https://doi.org/10.11477/mf.4426900033
  • Abstract
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We have attempted to improve laparoscopic gastrectomy which usually requires comlex and difficult procedures including GI reconstruction. Based on eight experiments with pigs and five clinical cases, we have developed hand-assisted laparoscopic distal gastrectomy with the use of wall-lift and a per-oral long-axis circular stapler. The new operation has enabled us to easily perform a rational lymph node dissection and gastroduodenal anastomosis. The small right lower quadrant incision similar to appendectomy is satisfactory from the cosmetic viewpoint and in terms of pain control.


Copyright © 1999, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

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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