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Kazutomo Inoue, MD
Kyoto, Japan

Arch Surg. 2000;135:810.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Adachi and his colleagues are to be commended for their results in a large series of patients with early-stage gastric cancer who underwent laparoscopy-assisted Billroth I gastrectomy (LAG) or conventional open gastrectomy (COG). They demonstrated several advantages of LAG over COG, including less surgical trauma, less impaired nutrition, less pain, rapid return of gastrointestinal function, shorter hospital stay, no decrease in operative curability. This approach has been adopted by more than a few Japanese surgeons since the first case of LAG for early gastric cancer performed by the same authors in 1994. Briefly, LAG consists of 2 procedures: (1) laparoscopic approach under the pneumoperitoneum and (2) resection of the stomach followed by hand-sawn anastomosis through a minilaparotomy incision.

The authors assigned patients with early-stage gastric cancer to undergo either LAG or COG based on the depth of wall invasion as determined by preoperative gastric fiberscopy and barium . . . [Full Text of this Article]

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Laparoscopy-Assisted Billroth I Gastrectomy Compared With Conventional Open Gastrectomy
Yosuke Adachi, Norio Shiraishi, Akio Shiromizu, Toshio Bandoh, Masanori Aramaki, and Seigo Kitano
Arch Surg. 2000;135(7):806-810.
ABSTRACT | FULL TEXT