Circular Stapled Billroth I Anastomosis after Distal Subtotal Gastrectomy : Anastomotic Complications and Prevention.
10.5230/jkgca.2006.6.2.103
- Author:
Moon Soo LEE
1
;
Gil Ho KANG
;
Gyu Seok CHO
;
Yong Jin KIM
;
Hyung Soo KIM
;
Hwa Soo LEE
;
Sung Yong KIM
;
Moo Jun BAEK
;
Chang Ho KIM
;
Moo Sik CHO
Author Information
1. Department of Surgery, College of Medicine, Soonchunhyang University, Cheonan, Korea. msslee@schch.co.kr
- Publication Type:Original Article
- Keywords:
Gastric cancer;
Circular stapler;
Billroth I;
Anastomosis site;
Bleeding
- MeSH:
Anastomotic Leak;
Constriction, Pathologic;
Gastrectomy*;
Gastroenterostomy*;
Hemorrhage;
Humans;
Stomach;
Stomach Neoplasms
- From:Journal of the Korean Gastric Cancer Association
2006;6(2):103-108
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The circular stapled Billroth I gastrectomy has been gradually popularized because of several advantages. Thus, this study aims to identify what to be supplemented for the safety of this technique by examining the potential complication after the circular stapled Billroth I gastrectomy. MATERIALS AND METHODS: This study selected 594 patients who underwent the circular stapled Billroth I gastrectomy because of the gastric cancer in our department of surgery from Jan. 1998 to Dec. 2004 as the subjects. As of Jan. 2001 when the bleeding on the anastomosis site was visually checked through the small incision at the opposite curvature to the lesion of the stomach to be resected and so the operation was completed, the patients were divided into the Group I (n=219) and Group II (n=375), which were the patients before and after Jan. 2001, respectively. Then, the clinical characteristics and postoperative anastomotic complications of both groups were compared. RESULTS: For the comparison of complications between two groups, the anastomotic leakage was found in four cases in Group I and three cases in Group II (p=0.196). The stenosis on the anastomosis region was not observed in both groups. The bleeding on the anastomosis region illustrates the statistically significant difference between Group I and Group II, with 43 cases and 2 cases, respectively (P=0.019). CONCLUSION: The circular stapled Billroth I gastrectomy is recommended because of several advantages of this technique. However, the bleeding on the anastomosis site may be indicated as the critical issue. Accordingly, the visual check on the bleeding on the anastomosis site during the operation will improve the safety of circular stapler.
