通过数字动态X线成像评估早期胃癌腹腔镜辅助远端胃切除术后（无论是否保留幽门）的胃动力。
Gastric motility after laparoscopically assisted distal gastrectomy, with or without preservation of the pylorus, for early gastric cancer, as assessed by digital dynamic x-ray imaging.
作者信息
Urushihara T, Sumimoto K, Shimokado K, Kuroda Y
机构信息
Hiroshima Prefectural Welfare Federation of Agricultural Cooperative, Yoshida General Hospital, 731-0501, 3666, Yoshida, Yoshida-cho, Takada-gun, Hiroshima, Japan.
出版信息
Surg Endosc. 2004 Jun;18(6):964-8. doi: 10.1007/s00464-003-8192-z. Epub 2004 Apr 21.
This study aimed to evaluate the usefulness of digital x-ray imaging for measuring gastric motility in patients subjected to laparoscopically assisted distal gastrectomy without preservation of the pylorus (LADG) or laparoscopically assisted pylorus-preserving gastrectomy (LAPPG) for early gastric cancer. Between April 1998 and February 2002, 52 patients with preoperative stage IA gastric cancer underwent laparoscopically assisted distal gastrectomy, with 26 receiving LADG for tumors in the lower third of the stomach and 26 receiving LAPPG for tumors in the middle third of the stomach. The gastric emptying ratio at 15 min after the ingestion of the test meal was 61.8% +/- 28.0% for LADG and 42.9% +/- 18.0% for LAPPG ( p < 0.01). The motility index was 2.65% +/- 2.54% for LADG and 8.13% +/- 2.46% for LAPPG ( p < 0.001). In conclusion, LAPPG results in better motility than LADG for patients with early gastric cancer arising in the middle third of the stomach.
本研究旨在评估数字X线成像在测量早期胃癌患者行腹腔镜辅助远端胃切除术（不保留幽门，LADG）或腹腔镜辅助保留幽门胃切除术（LAPPG）后胃动力方面的实用性。1998年4月至2002年2月期间，52例术前IA期胃癌患者接受了腹腔镜辅助远端胃切除术，其中26例因胃下三分之一处肿瘤接受LADG，26例因胃中三分之一处肿瘤接受LAPPG。试餐摄入后15分钟时，LADG组的胃排空率为61.8%±28.0%，LAPPG组为42.9%±18.0%（p<0.01）。LADG组的动力指数为2.65%±2.54%，LAPPG组为8.13%±2.46%（p<0.001）。总之，对于胃中三分之一处发生的早期胃癌患者，LAPPG导致的胃动力比LADG更好。
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