Intracorporeal esophagojejunostomy using the double stapling technique after laparoscopic total gastrectomy: A retrospective case-series study

World Journal of Gastroenterology : WJG
Jae Hun KimDo Youn Park

Abstract

To introduce a simple and safe anvil insertion technique to esophagus during laparoscopic total gastrectomy (LTG). Between July 2010 and December 2012, 58 consecutive patients with early gastric cancer underwent LTG were enrolled. We performed a simple and safe Roux-en-Y esophagojejunostomy using the double stapling technique to all patients. Then patients' characteristics, perioperative outcome and histopathologic data were analyzed retrospectively. The mean age and body mass index were 59.3 ± 9.7 years and 22.7 ± 2.6 kg/m(2). The mean operation, reconstruction and anvil insertion times (from gastric incision to linear stapling) were 251.8 ± 57.0, 43.1 ± 2.8 and 4.2 ± 1.9 min, respectively. Intraoperative blood loss was 204.6 ± 156.3 mL and there was no open conversion. The postoperative complications were in 8 cases (delayed gastric emptying in 4 cases, pulmonary complication in 2 cases, pancreatitis in 1 case, anastomotic stricture in 1 case). Anastomotic stricture occurred after discharge and was recovered by endoscopic intervention. The patients were discharged at a mean of 9.6 ± 2.0 d after surgery. Neither leakage nor bleeding from the esophagojejunostomy occurred postoperatively. The mean proximal margin of specimen was...Continue Reading

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Citations

May 18, 2016·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Daniela TreitlKfir Ben-David
Feb 12, 2017·Asian Journal of Endoscopic Surgery·Zheng-Hao CaiMin-Hua Zheng
Apr 18, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Weiguo LiuJianli Zhang
Jan 31, 2019·Annals of Gastroenterological Surgery·Yoshihiko KawaguchiDaisuke Ichikawa
Dec 18, 2020·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Italo BraghettoOmar Orellana

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