دورية أكاديمية
How do we prevent severe intra‐abdominal infectious complications following minimally invasive gastrectomy for cancer? The usefulness of a novel marker using computed tomography images (minimum umbilicus–vertebra diameter) and robotic surgery
العنوان: | How do we prevent severe intra‐abdominal infectious complications following minimally invasive gastrectomy for cancer? The usefulness of a novel marker using computed tomography images (minimum umbilicus–vertebra diameter) and robotic surgery |
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المؤلفون: | Naoshi Kubo, Katsunobu Sakurai, Tsuyoshi Hasegawa, Junya Nishimura, Yasuhito Iseki, Takafumi Nishii, Sadatoshi Shimizu, Toru Inoue, Yukio Nishiguchi, Kiyoshi Maeda |
المصدر: | Annals of Gastroenterological Surgery, Vol 8, Iss 3, Pp 420-430 (2024) |
بيانات النشر: | Wiley, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Surgery LCC:Diseases of the digestive system. Gastroenterology |
مصطلحات موضوعية: | CT image, gastric cancer, intra‐abdominal infectious complications, robotic gastrectomy, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869 |
الوصف: | Abstract Background Intra‐abdominal infectious complications (IAICs) following minimally invasive gastrectomy (MIG) for cancer sometimes worsen short‐ and long‐term outcomes. In this study, we focused on the minimum umbilicus–vertebra diameter (MUVD) in preoperative computed tomography (CT) images and robotic surgery to prevent severe IAIC occurrence. Patients and Methods A total of 400 patients with gastric cancer who underwent 204 laparoscopic gastrectomy (LG) and 196 robotic gastrectomy (RG) procedures were enrolled in this study. We retrospectively investigated the significance of the MUVD and robotic surgery for preventing severe IAICs following MIG using multivariate and propensity score matching analysis. Results The MUVD cutoff value was 84 mm by receiver operating characteristic (ROC) curve using severe IAICs as the end point. The MUVD and visceral fat area (VFA) had significantly higher area under the curve (AUC) than BMI (MUVD vs. BMI, p = 0.032; VFA vs. BMI, p |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2475-0328 |
Relation: | https://doaj.org/toc/2475-0328 |
DOI: | 10.1002/ags3.12760 |
URL الوصول: | https://doaj.org/article/caf27944cf36431e9e39a372c3b464d1 |
رقم الأكسشن: | edsdoj.f27944cf36431e9e39a372c3b464d1 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 24750328 |
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DOI: | 10.1002/ags3.12760 |