早期胃癌に対する縮小手術

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タイトル別名
  • TRANSVERSE GASTRECTOMY FOR EARLY GASTRIC CANCER
  • CLINICAL STUDY ON 46 PATIENTS
  • 分節的胃切除術46例の検討

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Forty-six patients with early gastric cancer underwent “transverse gastrectomy” between 1985 and 1993. The indication for this procedure was defined as follows: 1) tumors located in middle or lower part of the stomach, 2) size of tumor under 2 cm and 3) intramucosal cancer. We resected the stomach 2_??_3 cm apart from the tumor segmentally, and performed end to end anastomosis of the remnant stomach. Pyloroplasty was not performed to preserve its founction. From 1991, we tried to preserve the vagal nerve (hepatic and celiac branch). Lymphadenectomy was only performed for perigastric lymph nodes of the lesser and grater cavertuer, and for the samplings of the left gastric and common hepatic lymph nodes. These cases were compered, in terms of post-operative QOL and survival, with the early gastric cancer patients who underwent, during the same period, standard operation procedures of distal gastrectomy radical lymph adenectomy (D2 dissection) and Billroth-I reconstruction. This procedure proves to score higher in the area of QOL than standard operations since it keeps postoperative body weight especially. The survival rate of the patients who underwent this procedure is as well as that in standard operations. This results show that the procedure could be a useful method of treatment for early gastric cancer patients to improve their post-operative QOL as well as being a radical operation.

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