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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.80.4.4973ca8bdde-e8e5-40cd-b83c-b800f329b040
名前 / ファイル | ライセンス | アクション |
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06_Fujiogi.pdf (2.0 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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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 | |||||
言語 | en | |||||
著者 |
Fujiogi, Michimasa
× Fujiogi, Michimasa× Tanaka, Yujiro× Amano, Hizuru× Deie, Kyoichi× Suzuki, Keisuke× Kawashima, Hiroshi× Murase, Naruhiko× Uchida, Hiroo |
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アクセス権 | ||||||
アクセス権 | open access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
権利 | ||||||
言語 | en | |||||
権利情報Resource | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||
権利情報 | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International | |||||
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. |
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言語 | en | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
言語 | en | |||||
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 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
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 | PISSN | |||||
収録物識別子 | 0027-7622 | |||||
ISSN(Online) | ||||||
収録物識別子タイプ | EISSN | |||||
収録物識別子 | 2186-3326 | |||||
書誌情報 |
en : Nagoya Journal of Medical Science 巻 80, 号 4, p. 497-503, 発行日 2018-11 |
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著者版フラグ | ||||||
値 | publisher |