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KMID : 0914820100100020075
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Journal of the Korean Gastric Cancer Association
2010 Volume.10 No. 2 p.75 ~ p.78
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Totally Laparoscopic Distal Gastrectomy with ROUX-EN-Y Reconstruction for Treatment of Duodenal Ulcer Obstruction
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Kim Min-Gyu
Kim Beom-Su
Oh Sung-Tae
Yook Jeong-Hwan
Kim Byung-Sik
Kim Tae-Hwan
Kim Kap-Choong
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Abstract
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Because of advancement of medical treatment, surgical management of gastric or duodenal ulcer was indicated for treatment of perforation, massive hemorrhage and obstruction. The distal gastrectomy including ulcer was known as principle method of duodenal ulcer obstruction, but actually many surgeons have performed only bypass surgery for the difficulty of formation of duodenal stump. In our case, 61-year-old male with repetitive duodenal ulcer obstruction transferred with obstruction due to deformities and inflammations of duodenal ulcer. We had performed totally laparoscopic distal gastrectomy with ROUX-EN-Y reconstruction using the clear visibility of laparoscopy and fine dissections of harmonic scalpel. The patient started soft diet on postoperative day 5 and discharged on postoperative day 8. He returned to work after discharging immediately.
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KEYWORD
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Totally laparoscopic gastrectomy, Duodenal ulcer obstruction
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