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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 80(4)

A new laparoscopic triangle fixation technique for gastrostomy : a safe and effective procedure for reduction of the wound infection rate

https://doi.org/10.18999/nagjms.80.4.497
https://doi.org/10.18999/nagjms.80.4.497
3ca8bdde-e8e5-40cd-b83c-b800f329b040
名前 / ファイル ライセンス アクション
06_Fujiogi.pdf 06_Fujiogi.pdf (2.0 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-01-18
タイトル
タイトル A new laparoscopic triangle fixation technique for gastrostomy : a safe and effective procedure for reduction of the wound infection rate
著者 Fujiogi, Michimasa

× Fujiogi, Michimasa

WEKO 88493

Fujiogi, Michimasa

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Tanaka, Yujiro

× Tanaka, Yujiro

WEKO 88494

Tanaka, Yujiro

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Amano, Hizuru

× Amano, Hizuru

WEKO 88495

Amano, Hizuru

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Deie, Kyoichi

× Deie, Kyoichi

WEKO 88496

Deie, Kyoichi

Search repository
Suzuki, Keisuke

× Suzuki, Keisuke

WEKO 88497

Suzuki, Keisuke

Search repository
Kawashima, Hiroshi

× Kawashima, Hiroshi

WEKO 88498

Kawashima, Hiroshi

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Murase, Naruhiko

× Murase, Naruhiko

WEKO 88499

Murase, Naruhiko

Search repository
Uchida, Hiroo

× Uchida, Hiroo

WEKO 88500

Uchida, Hiroo

Search repository
キーワード
主題Scheme Other
主題 gastrostomy
キーワード
主題Scheme Other
主題 laparoscopic fundoplication
キーワード
主題Scheme Other
主題 surgical site infection
キーワード
主題Scheme Other
主題 children
キーワード
主題Scheme Other
主題 handicapped children
抄録
内容記述 Gastrostomy is often performed with fundoplication in handicapped children. We devised a new laparoscopic triangle fixation technique for gastrostomy.
In this study, 100 patients underwent gastrostomy with fundoplication between January 2008 and January 2016. We retrospectively reviewed the early postoperative results between the new laparoscopic procedure (NLP) group (n = 63) and conventional procedure (CP) group (n = 37). In the CP, the gastrostomy tube was inserted with a purse-string ligature at the gastric wall, and the gastric wall was sutured to the peritoneum under a small laparotomy. In NLP, three sutures were placed on the gastric wall, forming the three sides of a triangle, and the tube was inserted into the center of the triangle. The ends of each suture were pulled directly through the abdominal wall using a laparoscopic percutaneous extraperitoneal closure needle to join the gastric wall and peritoneum. Both groups showed no significant differences in age, body weight, and external leakage rate. The wound infection rate was significantly lower in the NLP group. In conclusions, the NLP is straightforward and can achieve firm fixation between the stomach and abdominal wall by suturing in the form of a triangle. The NLP was associated with a lower complication rate, especially concerning infection.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.80.4.497
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/804.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 80, 号 4, p. 497-503, 発行日 2018-11
著者版フラグ
値 publisher
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