Intra-corporeal hand-sewn esophagojejunostomy is a safe and feasible procedure for totally laparoscopic total gastrectomy: short-term outcomes in 100 consecutive patients

Surgical Endoscopy
Xiaowu XuChao Lu

Abstract

An optimal method for intracorporeal esophagojejunostomy has not yet been standardized. This study sought to introduce intracorporeal hand-sewn end-to-side esophagojejunostomy after totally laparoscopic total gastrectomy. The author conducted a consecutive series of 100 intracorporeal hand-sewn esophagojejunostomies after totally laparoscopic total gastrectomy for upper third gastric cancer from September 2012 to December 2016. All patients were successfully operated on without conversion to open- or laparoscope-assisted surgery. The mean reconstruction time was 45 min, and the time until first flatus was 4 days. The time to start a soft diet was 7 days. The length of postoperative hospital stay was 8 days. The overall postoperative morbidity was 8%, including one anastomotic leak, and the mortality was zero. The median follow-up duration was 13 months; no anastomotic strictures were encountered. Intracorporeal hand-sewn end-to-side esophagojejunostomy after totally laparoscopic total gastrectomy is a safe and feasible procedure. This method can identify negative margins with intraoperative frozen sections before reconstruction and could be a good option for performing intracorporeal esophagojejunostomy with an advanced endosco...Continue Reading

References

Apr 26, 2008·Surgical Endoscopy·Muhammed Ashraf MemonBreda Memon
Feb 11, 2012·Journal of Gastric Cancer·Kwang Oh So, Jong-Min Park
Sep 4, 2012·Indian Journal of Surgical Oncology·Ramakrishnan Ayloor SeshadriVenktesh Vaidhyalingam
Dec 25, 2012·Surgical Endoscopy·Leonie HaverkampRichard van Hillegersberg
Feb 11, 2015·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Chikara KunisakiItaru Endo
Aug 14, 2015·World Journal of Gastroenterology : WJG·Lin-Hua LiuBin Cheng
Sep 4, 2015·World Journal of Gastroenterology : WJG·Mikito InokuchiKazuyuki Kojima
Jul 21, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Atsuo ShidaKatsuhiko Yanaga
Aug 6, 2016·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Tomoya TsukadaKoichi Shimizu

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