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Long-term outcome and survival with laparoscopy-assisted pylorus-preserving gastrectomy for early gastric cancer

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Abstract

Background

Laparoscopically assisted pylorus-preserving gastrectomy (LAPPG) is introduced as a function-preserving operation with minimal invasion for early gastric cancer (EGC). This study aimed to investigate the long-term outcome and survival with LAPPG.

Methods

From January 2005 to July 2008, 188 patients with EGC underwent LAPPG. The surgical and long-term outcomes and survival were assessed retrospectively.

Results

The accuracy of the preoperative EGC diagnosis was 92.6%. The median follow-up period was 38 months (range, 2–63 months). Two patients experienced gallstones, and three patients experienced a second primary EGC. One patient with T3N0 gastric cancer died of peritoneal metastasis, and four patients died of other causes. The overall 3-year survival rate was 97.8%, and the disease-specific 3-year survival rate was 99.3%.

Conclusions

The LAPPG procedure is safe in terms of satisfactory long-term outcome and survival for patients with EGC in the middle third of the stomach.

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Authors and Affiliations

  1. Department of Gastroenterological Surgery, Gastroenterological Center, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan

    Xiaohua Jiang, Naoki Hiki, Souya Nunobe, Tetsu Fukunaga, Koshi Kumagai, Kyoko Nohara, Hiroshi Katayama, Shigekazu Ohyama, Takeshi Sano & Toshiharu Yamaguchi

  2. Department of General Surgery, Zhongda Hospital, Southeast University, Nanjing, China

    Xiaohua Jiang

Authors
  1. Xiaohua Jiang
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  2. Naoki Hiki
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  3. Souya Nunobe
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  4. Tetsu Fukunaga
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  5. Koshi Kumagai
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  6. Kyoko Nohara
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  7. Hiroshi Katayama
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  8. Shigekazu Ohyama
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  9. Takeshi Sano
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  10. Toshiharu Yamaguchi
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Corresponding author

Correspondence to Naoki Hiki.

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Jiang, X., Hiki, N., Nunobe, S. et al. Long-term outcome and survival with laparoscopy-assisted pylorus-preserving gastrectomy for early gastric cancer. Surg Endosc 25, 1182–1186 (2011). https://doi.org/10.1007/s00464-010-1336-z

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  • DOI: https://doi.org/10.1007/s00464-010-1336-z

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