Original

J Minim Invasive Surg 2007; 10(1): 34-38

Published online June 30, 2007

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

악성 위출구 폐쇄에 대한 복강경 및 개복 위공장문합술의 비교

오상민·김민찬·정갑중·김형호1

동아대학교 의과대학 외과학교실, 1서울대학교 의과대학 분당서울대병원 외과학교실

Laparoscopic vs Open Gastrojejunostomy for Malignant Gastric Outlet Obstruction

Sang-Min Oh, M.D., Min-Chan Kim, M.D., Ghap-Joong Jung, M.D., Hyung-Ho Kim, M.D.1

Department of Surgery, Dong-A University College of Medicine, Busan, 1Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The traditional management of malignant gastric outlet obstruction has been open gastrojejunostomy (OGJ). As a minimally invasive surgery, laparoscopic gastrojejunostomy (LGJ) has recently been introduced by several investigators. The aim of this study was to compare the clinical results of open and laparoscopic gastrojejunostomy for patients with malignant gastric outlet obstruction. Methods: From April 1997 to May 2006, we reviewed ten patients who underwent LGJ for malignant gastric outlet obstruction. Ten LGJ patients were compared with ten OGJ patients, and the latter were matched according to the diagnosis, age and gender. Results: There were no significant differences in mean age, gender, body weight change and mean operative time. The mean time to first flatus (p=0.009) and soft diet (p=0.037) were significantly shorter after LGJ than after OGJ. The postoperative complications ware wound infection (OGJ group: 3 cases) and delayed gastric emptying (OGJ group: 1 case, LGJ group: 2 cases). There were no significant differences in complications, the postoperative hospital stay and postoperative survival. Conclusion: LGJ for malignant gastric outlet obstruction was feasible and it achieved excellent results with earlier recovery of bowel movement than did OGJ.

Keywords Laparoscopy, Gastrojejunostomy, Gastric outlet obstruction

Article

Original

J Minim Invasive Surg 2007; 10(1): 34-38

Published online June 30, 2007

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

악성 위출구 폐쇄에 대한 복강경 및 개복 위공장문합술의 비교

오상민·김민찬·정갑중·김형호1

동아대학교 의과대학 외과학교실, 1서울대학교 의과대학 분당서울대병원 외과학교실

Laparoscopic vs Open Gastrojejunostomy for Malignant Gastric Outlet Obstruction

Sang-Min Oh, M.D., Min-Chan Kim, M.D., Ghap-Joong Jung, M.D., Hyung-Ho Kim, M.D.1

Department of Surgery, Dong-A University College of Medicine, Busan, 1Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: The traditional management of malignant gastric outlet obstruction has been open gastrojejunostomy (OGJ). As a minimally invasive surgery, laparoscopic gastrojejunostomy (LGJ) has recently been introduced by several investigators. The aim of this study was to compare the clinical results of open and laparoscopic gastrojejunostomy for patients with malignant gastric outlet obstruction. Methods: From April 1997 to May 2006, we reviewed ten patients who underwent LGJ for malignant gastric outlet obstruction. Ten LGJ patients were compared with ten OGJ patients, and the latter were matched according to the diagnosis, age and gender. Results: There were no significant differences in mean age, gender, body weight change and mean operative time. The mean time to first flatus (p=0.009) and soft diet (p=0.037) were significantly shorter after LGJ than after OGJ. The postoperative complications ware wound infection (OGJ group: 3 cases) and delayed gastric emptying (OGJ group: 1 case, LGJ group: 2 cases). There were no significant differences in complications, the postoperative hospital stay and postoperative survival. Conclusion: LGJ for malignant gastric outlet obstruction was feasible and it achieved excellent results with earlier recovery of bowel movement than did OGJ.

Keywords: Laparoscopy, Gastrojejunostomy, Gastric outlet obstruction

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