Hepato Gastroenterol
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Hepato Gastroenterol · Oct 2012
Introduction of a simulation model for choledocho- and pancreaticojejunostomy.
Pancreaticoduodenectomy includes choledochojejunostomy and pancreaticojejunostomy, which require hand-sewn anastomoses. Educational simulation models for choledochojejunostomy and pancreaticojejunostomy have not been designed. We introduce a simulation model for choledochojejunostomy and pancreaticojejunostomy created with a skin closure pad and a vascular model. ⋯ In addition, vein (6 or 8 mm diameter) and bowel models were used to simulate choledochojejunostomy. Pancreatic and hepatobiliary surgery are relatively rare, particularly in a community hospital although surgical residents wish to practice these procedures. Our simulator enables surgeons and surgical residents to practice choledocho- and pancreaticojejunostomy through open or laparoscopic approaches.
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Hepato Gastroenterol · Sep 2012
Review Meta AnalysisMeta-analysis of randomized controlled trials on laparoscopic gastrectomy vs. open gastrectomy for distal gastric cancer.
To evaluate the safety and practicability of laparoscopic gastrectomy (LG) by comparing the short-term and long-term outcomes of LG and open gastrectomy (OG) for gastric cancer. ⋯ Considering its lower morbidity and enhanced postoperative recovery, LG is a safe technical alternative to OG for distal gastric cancer.
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Hepato Gastroenterol · Sep 2012
Comparative StudyShort-term versus long-term administration of single prophylactic antibiotic in elective gastric tumor surgery.
To evaluate short-term versus long-term single prophylactic antibiotic for elective gastric tumor surgery. ⋯ Short-term administration did not increase the risk of postoperative complications and was more cost-effective.
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Hepato Gastroenterol · Sep 2012
Case Reports Comparative StudySafety of hepatectomy accompanying combined resection of other organs.
The present study analyzed postoperative outcomes for patients who underwent hepatectomy accompanied by resection of other organs, to clarify operative safety. ⋯ Good postoperative outcomes in multi-organ resections with hepatectomy were observed by careful perioperative management based on adequate indications for hepatectomy.
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Hepato Gastroenterol · Sep 2012
Comparative StudyA retrospective analysis of ultralow anterior resection vs. abdomino-perineal resection for lower rectal cancer.
The aim of this study was to compare the oncological outcome of ultralow anterior resection (ULAR) and abdominoperineal resection (APR) for lower rectal cancer. ⋯ Ultralow anterior resection and abdominoperineal resection have similar long-term outcome in lower rectal cancer. In tumor local relapse, APR is more effective than ULAR, but in distant metastasis, it not better than ULAR.