Laparoscopic stomach-partitioning gastrojejunostomy is an effective palliative procedure to improve quality of life in patients with malignant gastroduodenal outlet obstruction

被引：15

作者：

Eguchi, Hidetoshi ^{[1
]}

Yada, Kazuhiro ^{[1
]}

Shibata, Kohei ^{[1
]}

Matsumoto, Toshifumi ^{[1
]}

Etoh, Tsuyoshi ^{[1
]}

Yasuda, Kazuhiro ^{[1
]}

Inomata, Masafumi ^{[1
]}

Shiraishi, Norio ^{[1
]}

Ohta, Masayuki ^{[1
]}

Kitano, Seigo ^{[2
]}

机构：

[1] Oita Univ, Fac Med, Dept Surg 1, 1-1 Idaigaoka, Oita 8795593, Japan

[2] Oita Univ, Oita, Japan

来源：

ASIAN JOURNAL OF ENDOSCOPIC SURGERY | 2012年 / 5卷 / 04期

关键词：

Laparoscopic; palliative surgery; stomach-partitioning gastrojejunostomy;

D O I：

10.1111/j.1758-5910.2012.00151.x

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Introduction: A patient with gastroduodenal obstruction caused by an unresectable gastroduodenal or periampullary cancer cannot ingest food and/or liquid. The patient's quality of life rapidly deteriorates, resulting in a dismal prognosis. Stomach-partitioning gastrojejunostomy has been previously reported, and here, we evaluate the laparoscopic procedure. Methods: We performed laparoscopic stomach-partitioning gastrojejunostomy in 18 patients with unresectable gastroduodenal or periampullary cancers. Data on operation time, blood loss, complications, and postoperative course were retrospectively collected. Results: The mean operation time was 152 min, and conversion to open surgery was not required in any patients. Postoperative complications occurred in three patients (17%) and included cholangitis, anastomotic ulcer hemorrhage, and enterocolitis. The mean time to oral intake was 4.5 days, and the mean and median duration of oral intake were maintained for 133 and 88 days, respectively. Conclusion: Laparoscopic stomach-partitioning gastrojejunostomy is a safe and effective procedure that allows patients with gastroduodenal outlet obstruction to eat again and improve the quality of their remaining life.

引用

页码：153 / 156

页数：4

共 16 条

[1]

BOZZETTI F, 1987, SURG GYNECOL OBSTET, V164, P151

[2] Laparoscopic gastrojejunostomy for palliation of gastric outlet obstruction in unresectable gastric cancer [J].

Choi, YB .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2002, 16 (11) :1620-1626

[3] Palliative gastrojejunostomy - A minimally invasive approach [J].

Chung, RS ;

Li, P .

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES, 1997, 11 (06) :676-678

[4] EVALUATION OF PALLIATIVE SURGICAL-PROCEDURES IN UNRESECTABLE PANCREATIC-CANCER [J].

DEROOIJ, PD ;

ROGATKO, A ;

BRENNAN, MF .

BRITISH JOURNAL OF SURGERY, 1991, 78 (09) :1053-1058

[5]

Devine HB, 1925, SURG GYNECOL OBSTET, V40, P1

[6] Self-expanding metal stents for gastroduodenal malignancies: Systematic review of their clinical effectiveness [J].

Dormann, A ;

Meisner, S ;

Verin, N ;

Lang, AW .

ENDOSCOPY, 2004, 36 (06) :543-550

[7]

Kaminishi M, 1997, ARCH SURG-CHICAGO, V132, P184

[8] Stomach-partitioning gastrojejunostomy for gastroduodenal outlet obstruction [J].

Kubota, Keisuke ;

Kuroda, Junko ;

Origuchi, Nobuto ;

Kaminishi, Michio ;

Isayama, Hiromichi ;

Kawabe, Takao ;

Omata, Masao ;

Mafune, Ken-ichi .

ARCHIVES OF SURGERY, 2007, 142 (07) :607-611

[9] DEVINE EXCLUSION FOR UNRESECTABLE CARCINOMA OF THE STOMACH [J].

KWOK, SPY ;

CHUNG, SCS ;

GRIFFIN, SM ;

LI, AKC .

BRITISH JOURNAL OF SURGERY, 1991, 78 (06) :684-685

[10] Is prophylactic gastrojejunostomy indicated for unresectable periampullary cancer? A prospective randomized trial [J].

Lillemoe, KD ;

Cameron, JL ;

Hardacre, JM ;

Sohn, TA ;

Sauter, PK ;

Coleman, J ;

Pitt, HA ;

Yeo, CJ .

ANNALS OF SURGERY, 1999, 230 (03) :322-328

← 1 2 →