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Omental Pedicle Graft to Protect Compromised Double-Stapled Anastomosis in Anterior Resection for Rectal Cancer
http://hdl.handle.net/10069/16133
http://hdl.handle.net/10069/1613311feb670-71e3-493a-a3f4-254f3ba1f084
名前 / ファイル | ライセンス | アクション |
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acta44_01_08_t.pdf (514.3 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2008-03-13 | |||||
タイトル | ||||||
タイトル | Omental Pedicle Graft to Protect Compromised Double-Stapled Anastomosis in Anterior Resection for Rectal Cancer | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | omental pedicle graft | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | anterior resection | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | rectal | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | cancer | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | double-stapling technique | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Nakagoe, Tohru
× Nakagoe, Tohru× Sawai, Terumitsu× Tuji, Takashi× Nanashima, Atsushi× Zibiki, Masaaki× Yamaguchi, Hiroyuki× Yasutake, Tohru× Ayabe, Hiroyoshi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | PURPOSE: The purpose of this study was to investigate the effects of omental pedicle graft (OPG) wrapping to limit leakage from compromised double-stapled anastomoses after anterior resection for rectal cancer. PATIENTS AND METHODS: Between 1994 and 1997, a prospective study was conducted on 80 consecutive patients who had undergone double-stapled anastomoses after anterior resection for rectal cancer. Decisions to perform OPG were made intraoperatively because of compromised doublestapled anastomoses. RESULTS: Twenty-one patients (26%) received OPG to protect anastomosis, the remainder of patients had no OPG. Ten of the 21 patients underwent OPG for stapler-related operative complications, 5 for rectal carcinoma with stenosis, 3 for obstructive colitis or diverticulitis in the sigmoid colon, and 6 for very low anterior resection with coloanal anastomosis after total mesorectal excision. Three of 21 patients had more than one indication for OPG. The two types of patients were comparable with respect to patient characteristics and operative procedures, although tumor diameter in the OPG patients was significantly larger than in the non-OPG patients. Anastomotic leakage was noted in 1 non-OPG patient (2%) but in none of the OPG patient. There were no statistically significant differences between the two types of patients with regard to postoperative course and anastomotic or other postoperative complications. CONCLUSION: We conclude that OPG wrapping provides an effective protection for a compromised anastomosis of anterior resection in selected patients with rectal cancer | |||||
書誌情報 |
Acta medica Nagasakiensia 巻 44, 号 1-2, p. 40-46, 発行日 1999-06-23 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
sortkey | ||||||
P00040-P00046 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia. 1999, 44(1-2), p.40-46 |