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ヤマグチ シゲキ
YAMAGUCHI SHIGEKI
山口 茂樹 所属 医学部 医学科（東京女子医科大学病院） 職種 教授・基幹分野長 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読なし |
| 表題 | The clinical impact of COVID-19 on endoscopic surgery in Japan: Analysis of data from the National Clinical Database |
| 掲載誌名 | 正式名：Annals of gastroenterological surgery 略 称：Ann Gastroenterol Surg ISSNコード：24750328/24750328 |
| 掲載区分 | 国内 |
| 巻・号・頁 | 7(4),pp.572-582 |
| 著者・共著者 | SHIROSHITA Hidefumi, ENDO Hideki, INOMATA Masafumi, AKAGI Tomonori, YAMAMOTO Hiroyuki, YAMAGUCHI Shigeki, EGUCHIi Susumu, WADA Norihito, KUROKAWA Yukinori, SEKI Yosuke, SAKAI Yoshiharu, MIYATA Hiroaki, KAKEJI Yoshihiro, KITAGAEA Yuko, TAKETOMI Akinobu, MORI Masaki |
| 発行年月 | 2023/07 |
| 概要 | AIM:This study aimed to evaluate the impact of the coronavirus disease (COVID-19) pandemic on elective endoscopic surgeries in Japan using the National Clinical Database.METHODS:We retrospectively analyzed the clinicopathological factors and surgical outcomes of laparoscopic cholecystectomy (LC), laparoscopic distal gastrectomy (LDG), and laparoscopic low anterior resection (LLAR) and compared the monthly numbers of each procedure performed in 2020 with those in 2018 and 2019. The degree of infection in prefectures was classified into low and high groups.RESULTS:In 2020, the number of LCs (except for acute cholecystitis) was 76 079 (93.0% of that in 2019), the number of LDGs was 14 271 (85.9% of that in 2019), and the number of LLARs was 19 570 (88.1% of that in 2019). Although the number of robot-assisted LDG and LLAR cases increased in 2020, the growth rate was mild compared with that in 2019. There was little difference in the number of cases in the degree of infection in the prefectures. The numbers of LC, LDG, and LLAR cases decreased from May to June and recovered gradually. In late 2020, the proportion of T4 and N2 cases of gastric cancer and the number of T4 cases of rectal cancer increased compared with those in 2019. There was little difference between the proportions of postoperative complications and mortality in the three procedures between 2019 and 2020.CONCLUSION:The number of endoscopic surgeries decreased in 2020 as a result of the COVID-19 pandemic. However, the procedures were performed safely in Japan. |
| DOI | 10.1002/ags3.12660 |
| PMID | 37416738 |