Background: The utility and problems including the socioeconomic aspect of laparoscopy-assisted distal gastrectomy for gastric cancer have not been fully evaluated. Subjects and Methods: We compared open distal gastrectomy and laparoscopy-assisted distal gastrectomy for the clinical benefit, quality of life, and problems of operation cost by the reference documents in which the difference betwe...

Background: A novel distal subtotal gastrectomy was performed in 5 patients with macroscopically node-positive gastric cancer located in the greater curvature of the middle stomach. In these patients, total gastrectomy or standard distal subtotal gastrectomy has been typically performed. In these typical gastrectomies, the hepatic and the coeliac branches of the vagi are removed en bloc with th...

Total gastrectomy results in permanent loss of secretory, mechanical and storage functions of the stomach. The altered physiology can be understood from Figure 1. The rationale behind reconstruction after total gastrectomy is to prevent or minimize these postgastrectomy disorders. More than 70 types of reconstructive procedures have been tried to minimize post-gastrectomy symptoms. Such a large...

This randomized Phase II trial will compare the efficacy and safety of laparoscopy-assisted D2 distal gastrectomy and open distal D2 gastrectomy after neoadjuvant chemotherapy for patients with macroscopically resectable serosa-positive gastric cancer. When R0/R1 surgery is achieved, patients receive S-1 chemotherapy for 1-year post-operatively. The primary endpoint is the 3-year disease-free s...

In Korea, proximal gastrectomy has recently attracted attention as a better choice of function-preserving surgery for proximal early gastric cancer than total gastrectomy. Of the various strategies to overcome reflux symptoms from remnant stomach, double tract reconstruction not only reduces the incidence of anastomosis-related complications, but is also sufficiently reproducible as a laparosco...

Previous Gastrectomy can lead to an increased incidence of cholecystocholedocholithiasis and increased morbidity requiring surgery. For the reason of reconstruction of digestive tract (especially in patients with previous Billroth II gastrectomy or total gastrectomy with Roux-en-Y esophagojejunostomy), Endoscopic retrograde cholangiopancreatography (ERCP) tend to be difficult to be performed. A...

INTRODUCTION: WHO predicts an increase in the number of people with diabetes Indonesia from 8.4 million 2000 to around 21.3 2030. Another marker for measuring insulin resistance is homeostasis model assessment-insulin (HOMA-IR). Bariatric surgery most effective therapy patients both terms weight loss and improvement obesity-related diseases such as Type-2 Diabetes Mellitus (DM). OBJECTIVE: This...

Patients treated in a randomized controlled comparison of management of benign gastric ulcer of the body of the stomach, comprising 50 patients treated by Billroth I partial gastrectomy and 50 patients treated by vagotomy and pyloroplasty and biopsy of the ulcer, were followed up for about five years (range one and a half to eight and a half years). No statistically significant difference has b...

BACKGROUND Although several studies compare surgical results of laparoscopic and open colonic resections, there is no study of laparoscopic gastrectomy compared with open gastrectomy. HYPOTHESIS When compared with conventional open gastrectomy, laparoscopy-assisted Billroth I gastrectomy is less invasive in patients with early-stage gastric cancer. DESIGN Retrospective review of operative d...