臨床外科75巻2号

2020年02月発行

特集 「縫合不全!!」を防ぐ 胃

噴門側胃切除・胃全摘における食道空腸吻合

著者： 和田剛幸¹ 片井均¹

所属機関： ¹国立がん研究センター中央病院胃外科

ページ範囲：P.182 - P.185

【ポイント】
◆郭清は個々のvariationに対して臨機応変に対応する必要があるが，再建はroutineを決めて遵守する．
◆食道空腸吻合部のtensionを改善する技術を身につけておく．

参考文献

1）Dassen AE, Lemmens VE, van de Poll-Franse LV, et al：Trends in incidence, treatment and survival of gastric adenocarcinoma between 1990 and 2007：a population-based study in the Netherlands. Eur J Cancer 46：1101-1110, 2010

2）Deans C, Yeo MS, Soe MY, et al：Cancer of the gastric cardia is rising in incidence in an Asian population and is associated with adverse outcome. World J Surg 35：617-624, 2011

3）Steevens J, Botterweck AA, Dirx MJ, et al：Trends in incidence of oesophageal and stomach cancer subtypes in Europe. Eur J Gastroenterol Hepatol 22：669-678, 2010

4）Jankowski JA, Harrison RF, Perry I, et al：Barrett's metaplasia. Lancet 356：2079-2085, 2000

5）Cameron AJ, Romero Y：Symptomatic gastro-oesophageal reflux as a risk factor for oesophageal adenocarcinoma. Gut 46：754-755, 2000

infection in Japan. Expert Rev Gastroenterol Hepatol 7：35-40, 2013

7）日本胃癌学会（編）：胃癌治療ガイドライン医師用 2018年1月改訂 第5版．金原出版，2018

8）Jung DH, Ahn SH, Park DJ, et al：Proximal Gastrectomy for Gastric Cancer. J Gastric Cancer 15：77-86, 2015

9）Ichikawa D, Komatsu S, Kubota T, et al：Long-term outcomes of patients who underwent limited proximal gastrectomy. Gastric Cancer 17：141-145, 2014

10）Takiguchi N, Takahashi M, Ikeda M, et al：Long-term quality-of-life comparison of total gastrectomy and proximal gastrectomy by postgastrectomy syndrome assessment scale（PGSAS-45）：a nationwide multi-institutional study. Gastric Cancer 18：407-416, 2015

11）Katai H, Mizusawa J, Katayama H, et al：Single-arm confirmatory trial of laparoscopy-assisted total or proximal gastrectomy with nodal dissection for clinical stage Ⅰ gastric cancer：Japan Clinical Oncology Group study JCOG1401. Gastric Cancer 22：999-1008, 2019

12）Deguchi Y, Fukagawa T, Morita S, et al：Identification of risk factors for esophagojejunal anastomotic leakage after gastric surgery. World J Surg 36：1617-1622, 2012

13）Sano T, Sasako M, Mizusawa J, et al：Randomized Controlled Trial to Evaluate Splenectomy in Total Gastrectomy for Proximal Gastric Carcinoma. Ann Surg 265：277-283, 2017

14）Fukagawa T, Gotoda T, Oda I, et al：Stenosis of esophago-jejuno anastomosis after gastric surgery. World J Surg 34：1859-1863, 2010