The methods of anastomosis in totally laparoscopic total gastrectomy esophagojejunostomy-the collision and fusion of hand suturing and stapled anastomosis
10.3760/cma.j.cn115610-20230906-00067
- VernacularTitle:完全腹腔镜全胃切除食管空肠吻合手术方式选择思考：手工缝合与器械吻合的碰撞与融合
- Author:
Jiangfeng QIU
1
;
Hui CAO
Author Information
1. 上海交通大学医学院附属仁济医院胃肠外科，上海 200127
- Keywords:
Stomach neoplasms;
Total gastrectomy;
Total laparoscopy;
Digestive tract reconstruction;
Esophagojejunostomy;
Stapled anastomosis;
Hand suturing
- From:
Chinese Journal of Digestive Surgery
2023;22(10):1194-1198
- CountryChina
- Language:Chinese
-
Abstract:
Totally laparoscopic total gastrectomy is the most comlex procedure in gastric surgery, which involves the entire stomach removal, lymph node dissection and digestive tract recons-truction through minimally invasive techniques, among which laparoscopic esophagojejunostomy is a technological difficulty. Currently, three types of anastomoses are widely used, including stapled anastomosis with circular staplers or linear staplers, and hand suturing, but which is the best and safe anastomosis remains controversial. Based on team experience, the authors review the progress of esophagojejunostomy on stapled anastomosis or hand suturing, promote that how to select an appropriate esophagojejunostomy according to surgeon′s individual technical capabilities, operating habits and patient conditions, strive to achieve the precise and minimally invasive effect with the least trauma for patients.
