Assessment of the Double-Staple Technique for Esophagoenteric Anastomosis in Gastric Cancer

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
Audrey H ChoiJoseph Kim

Abstract

Reports on outcomes after double-staple technique (DST) for total and proximal gastrectomy are limited, originating mostly from Asian centers. Our objective was to examine anastomotic leak and stricture with DST for esophagoenteric anastomosis in gastric cancer patients. A single institution review was performed for patients who underwent total/proximal gastrectomy with DST between 2006 and 2015. DST was performed using transoral anvil delivery (OrVil) with end-to-end anastomosis. Clinical characteristics and outcomes, including anastomotic leak and stricture, were recorded. Overall, DST was performed in 60 patients [total gastrectomy (81.7%, n = 49/60), proximal gastrectomy (10.0%, n = 6/60), and completion gastrectomy (8.3%, n = 5/60)]. Neoadjuvant chemotherapy was administered to 21 patients (35.0%), and 6 patients (10.0%) received external beam radiation therapy prior to completion gastrectomy. Operative approach was open (51.7%, n = 31/60), laparoscopic (43.3%, n = 26/60), or robotic (5.0%, n = 3/60). Anastomotic leak occurred in 6.7% (n = 4/60), while stricture independent of leak was identified in 19.0% (n = 11/58) of patients. Complications occurred in 38.3% (n = 23/60) of patients, of which 52% were classified as Clavi...Continue Reading

References

Nov 15, 2001·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·I UyamaA Hasumi
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Oct 6, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Evelyn L KachikwuJoshua D I Ellenhorn
Nov 3, 2010·Journal of the American College of Surgeons·Kazuki InabaIchiro Uyama
Oct 26, 2012·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Jung Ho ShimKyo Young Song
Feb 23, 2013·World Journal of Gastroenterology : WJG·Guan-Qun LiaoWen Huang
Oct 24, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Kfir Ben-DavidSteven N Hochwald

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