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Comparison of Billroth I and Billroth II reconstructions after laparoscopy-assisted distal gastrectomy: a retrospective analysis of large-scale multicenter results from Korea.

DC Field Value Language
dc.contributor.author형우진-
dc.date.accessioned2014-12-20T17:16:46Z-
dc.date.available2014-12-20T17:16:46Z-
dc.date.issued2011-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/94297-
dc.description.abstractBACKGROUND: Since reconstruction after laparoscopy-assisted distal gastrectomy (LADG) is performed through a small minilaparotomy window, the clinical course and complication rate are influenced by clinical technical expertise and experience. The aim of this study was to compare postoperative complications and survival rates of Billroth I and Billroth II reconstructions after LADG. PATIENTS AND METHODS: We retrospectively collected data from 1,259 patients who underwent LADG performed by ten surgeons at ten hospitals between April 1998 and December 2005. Patients were classified into two groups according to reconstruction method used: the Billroth I group (n=875) and the Billroth II group (n=384). Patient and tumor characteristics, operative details, and postoperative complications were analyzed. RESULTS: Billroth II reconstruction was performed on obese patients (p=0.003) and patients with more advanced tumors (p<0.001). Billroth I reconstruction was performed more frequently in the lower portion of the stomach (p<0.001) and yielded shorter operating times. The postoperative complication rate was 11.4% in the Billroth I group, which was lower than that in the Billroth II group (16.9%) (p=0.011). However, the differences in the major complication rates were not statistically significant (p=0.263). Of the intra-abdominal complications, intraluminal or intraperitoneal bleeding was the most frequent complication in the Billroth I group and duodenal stump leakage was the most frequent in the Billroth II group. The postoperative mortality rate did not show a statistically significant difference. CONCLUSIONS: Both Billroth I and Billroth II techniques are feasible and safe reconstruction methods after LADG for gastric cancer. To reduce major complication rates, surgeons should pay attention to bleeding in Billroth I reconstruction and stump leakage in Billroth II reconstruction-
dc.description.statementOfResponsibilityopen-
dc.format.extent1953~1961-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdenocarcinoma/pathology-
dc.subject.MESHAdenocarcinoma/surgery*-
dc.subject.MESHAged-
dc.subject.MESHFemale-
dc.subject.MESHGastrectomy/methods*-
dc.subject.MESHGastroenterostomy/adverse effects*-
dc.subject.MESHGastroenterostomy/mortality-
dc.subject.MESHHumans-
dc.subject.MESHLaparoscopy-
dc.subject.MESHLogistic Models-
dc.subject.MESHLymph Node Excision-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Staging-
dc.subject.MESHPatient Selection-
dc.subject.MESHPostoperative Complications/epidemiology-
dc.subject.MESHRepublic ofKorea-
dc.subject.MESHStomach Neoplasms/pathology-
dc.subject.MESHStomach Neoplasms/surgery*-
dc.subject.MESHSurgical Stapling-
dc.subject.MESHTreatment Outcome-
dc.titleComparison of Billroth I and Billroth II reconstructions after laparoscopy-assisted distal gastrectomy: a retrospective analysis of large-scale multicenter results from Korea.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorKyu-Chul Kang-
dc.contributor.googleauthorGyu Seok Cho-
dc.contributor.googleauthorSang Uk Han-
dc.contributor.googleauthorWook Kim-
dc.contributor.googleauthorHyung-Ho Kim-
dc.contributor.googleauthorMin-Chan Kim-
dc.contributor.googleauthorWoo Jin Hyung-
dc.contributor.googleauthorSeong Yeob Ryu-
dc.contributor.googleauthorSeung Wan Ryu-
dc.contributor.googleauthorHyuk Joon Lee-
dc.contributor.googleauthorKyo Young Song-
dc.identifier.doi10.1007/s00464-010-1493-0-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04382-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid21136095-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00464-010-1493-0-
dc.subject.keywordLaparoscopic gastrectomy-
dc.subject.keywordGastric cancer-
dc.subject.keywordBillroth I reconstruction-
dc.subject.keywordBillroth II reconstruction-
dc.subject.keywordComplications-
dc.contributor.alternativeNameHyung, Woo Jin-
dc.contributor.affiliatedAuthorHyung, Woo Jin-
dc.rights.accessRightsnot free-
dc.citation.volume25-
dc.citation.number6-
dc.citation.startPage1953-
dc.citation.endPage1961-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.25(6) : 1953-1961, 2011-
dc.identifier.rimsid27524-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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