J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3596KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(4): 291-296, 1996

Feature topic

PYLORUS-PRESERVING GASTRECTOMY FOR EARLY GASTRIC CANCER

First Department of Surgery, Tohoku University School of Medicine, Sendai, Japan

Iwao Sasaki, Kenji Shiiba, Hiroo Naito, Seiki Matsuno

Pylorus-preserving gastrectomy (PPG) was originally proposed by Maki et al for gastric ulcer, Recently this operation with lymphnode dissection has been adopted for patients with early gastric cancer locating at antrum and body of the stomach in Japan. But standard procedure of this operation has not been established yet. Grade of lymph node dissection, preservation of pyloric branch and indication criteria are fairly dependent on each surgeon when PPG is applied for gastric cancer. Although the results of this operation is not accumulated enough, it is considered that this operation may have benefits for decrease of postoperative chronic morbidity with acceptable cancer curativity as compared to conventional distal gastrectomy, Billroth-I procedure.

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