2016 Fiscal Year Final Research Report
An Experimental Study of the Safety and Efficacy of Absorbable Barbed Sutures in Laparoscopic Gastrectomy for Cancer
| Project/Area Number |
25462040
|
|---|
| Research Category |
Grant-in-Aid for Scientific Research (C)
|
| Allocation Type | Multi-year Fund |
|---|
| Section | 一般 |
|---|
| Research Field |
Digestive surgery
|
|---|
| Research Institution | Osaka Medical College |
|---|
Principal Investigator |
|
|---|
| Project Period (FY) |
2013-04-01 – 2017-03-31
|
| Keywords | 胃癌 / 腹腔鏡下手術 / 体腔内消化管再建 / 新規縫合糸 / Barbed suture / ERASプロトコール / 回復能力強化プログラム |
|---|
| Outline of Final Research Achievements |
Aim: To investigate the use of the novel barbed suture in gastrointestinal enterotomy closure. Methods: The barbed suture was used to close the entry hole for the linear stapler during intracorporeal reconstruction. Results: The enterotomy hole at 256 sites in 242 patients was closed using the barbed suture. There were no anastomosis-related complications. Conclusions: The use of the barbed absorbable suture for gastrointestinal closure is safe in laparoscopic gastrectomy.
Aim: To clarify the efficacy of the ERAS protocol in patients with gastric cancer. Results: We randomized 148 patients undergoing gastrectomy into an ERAS protocol group and a conventional protocol group. The hospital stay was significantly shorter in the ERAS protocol group. The ERAS protocol group had a significantly lower rate of postoperative complications of grade III or higher. Conclusions: The ERAS protocol is safe and efficient, and seems to improve the postoperative course of patients with gastric cancer.
|
| Free Research Field |
一般・消化器外科学
|
