Randomized clinical trial comparing long-term quality of life for Billroth IversusRoux-en-Y reconstruction after distal gastrectomy for gastric cancer

2016 ◽  
Vol 103 (4) ◽  
pp. 337-347 ◽  
Author(s):  
M. Nakamura ◽  
M. Nakamori ◽  
T. Ojima ◽  
M. Iwahashi ◽  
T. Horiuchi ◽  
...  
2007 ◽  
Vol 21 (12) ◽  
pp. 2150-2153 ◽  
Author(s):  
K. Yasuda ◽  
N. Shiraishi ◽  
T. Etoh ◽  
A. Shiromizu ◽  
M. Inomata ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e043535
Author(s):  
Hao Cui ◽  
Bo Cao ◽  
Guoxiao Liu ◽  
Hongqing Xi ◽  
Zhida Chen ◽  
...  

IntroductionLaparoscopic distal gastrectomy (LDG) is regarded as a standard treatment for patients with clinical stage I–III gastric cancer. With the popularisation of the Da Vinci robotic system in the 21st century, robotic distal gastrectomy has been increasingly applied, and its potential advantages over LDG have been proved by several studies. Intraperitoneal anastomosis is a hot topic in research as it highlights the superiority of minimally invasive surgery and is safe and feasible. We intend to conduct this randomised clinical trial to focus on short-term outcomes and quality of life (QOL) in totally laparoscopic distal gastrectomy (TLDG) and totally robotic distal gastrectomy (TRDG) for patients with clinical stage I–III gastric cancer.Methods and analysisThis study is a prospective, multi-institutional, open-label randomised clinical trial that will recruit 722 patients with a 1:1 ratio (361 patients in the TLDG group and 361 patients in the TRDG group) from eight large-scale gastrointestinal medical centres in China. The primary endpoint is 30-day postoperative morbidity. The secondary endpoints include QOL, 30-day severe postoperative morbidity and mortality, anastomotic-related complication rate, conversion to open surgery rate, intraoperative and postoperative indicators, operative and total costs during hospitalisation, 1-year overall survival and disease-free survival. QOL is determined by the The European Organization for Reasearch and Treatment of Cancer Quality of Life Questionnare-Core 30 and Stomach22 (EORTC QLQ-C30 and STO22) questionnaires which are completed before surgery and 1, 3, 6 months, and 1 year after surgery. χ2 test will be used for the primary endpoint, while analysis of covariance will be used to compare the overall changes of QOL between the two groups.Ethics and disseminationThis trial was approved by the Ethics Committee of the Chinese PLA General Hospital. The trial’s results will be disseminated via peer-reviewed scientific journals and conference presentations.Trial registration numberChiCTR2000032670.


2014 ◽  
Vol 18 (2) ◽  
pp. 417-425 ◽  
Author(s):  
Kazunari Misawa ◽  
Michitaka Fujiwara ◽  
Masahiko Ando ◽  
Seiji Ito ◽  
Yoshinari Mochizuki ◽  
...  

2007 ◽  
Vol 86 (3) ◽  
pp. 276-280 ◽  
Author(s):  
G.T. Stoker ◽  
D. Wismeijer ◽  
M.A.J. van Waas

Mandibular implant overdentures increase satisfaction and the quality of life of edentulous individuals. Long-term aftercare and costs may depend on the type of overdentures. One hundred and ten individuals received one of 3 types of implant-retained overdentures, randomly assigned, and were evaluated with respect to aftercare and costs. The follow-up time was 8 years, with only seven drop-outs. No significant differences (Kruskal-Wallis test) were observed for direct costs of aftercare (p = 0.94). The initial costs constituted 75% of the total costs and were significantly higher in the group with a bar on 4 implants, compared with the group with a bar on 2 implants and the group with ball attachments on 2 implants (p = 0.018). The last group needed a significantly higher number of prosthodontist-patient aftercare contacts, mostly for re-adjustment of the retentive system. It can be concluded that an overdenture with a bar on 2 implants might be the most efficient in the long term.


Surgery Today ◽  
2015 ◽  
Vol 46 (6) ◽  
pp. 741-749 ◽  
Author(s):  
Keishi Yamashita ◽  
Shinichi Sakuramoto ◽  
Shiro Kikuchi ◽  
Nobue Futawatari ◽  
Natsuya Katada ◽  
...  

2006 ◽  
Vol 16 (2) ◽  
pp. 119-123 ◽  
Author(s):  
Naoki Ikenaga ◽  
Kazuyoshi Nishihara ◽  
Toshimitsu Iwashita ◽  
Nobuhiro Suehara ◽  
Shoshu Mitsuyama

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