[Technical prerequisites for performing controlled studies with the goal: postoperative quality of life after gastrectomy].
A study of 78 cases of gastrectomy in which two reconstruction procedures Roux-en-Y + pouch and interposition + pouch were compared and which is still in progress, yielded the following results: 1. It is possible to use both methods only with staplers and have few complications in a time-saving procedure. 2. A Roux-en-Y + pouch takes mean = 50 min; an interposition + pouch requires mean = 90 min (net time of reconstruction). 3. It is sometimes impossible for anatomical reasons to use an interposition + pouch. 4. The more complex procedure--the interposition + pouch--does not have a higher rate of complications. 5. Technical development permits controlled studies investigating the long-term target: quality of life.
Thiede
A
A
Chirurg. Klinik, FEK Neumünster.
Fuchs
K H
KH
Hamelmann
H
H
D000713:Anastomosis, Roux-en-Y / Q000379:methods; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery; D011178:Postgastrectomy Syndromes / Q000209:etiology* / Q000401:mortality; D011788:Quality of Life; D013528:Surgical Staplers; D015996:Survival Rate
Technische Voraussetzungen zur Durchführung kontrollierter Studien mit dem Zielkriterium: Postoperative Lebensqualität nach Gastrektomie.