Application study of totally laparoscopic distal gastrectomy with delta-shaped anastomosis.
- Author:
Nan WANG
1
;
Qing QIAO
;
Tao WU
;
Guoqiang BAO
;
Bobo ZHENG
;
Shuai ZHOU
;
Bo ZHANG
;
Ying YANG
;
Shuang XIE
;
Xianli HE
Author Information
- Publication Type:Journal Article
- MeSH: Anastomosis, Surgical; Gastrectomy; Humans; Laparoscopy; Lymph Node Excision; Operative Time; Postoperative Period; Retrospective Studies; Stomach; surgery; Stomach Neoplasms
- From: Chinese Journal of Gastrointestinal Surgery 2014;17(11):1111-1114
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the short-term efficacy between totally laparoscopic distal gastrectomy(TLDG) with delta-shaped anastomosis (DS) and laparoscopic-assisted distal gastrectomy (LADG) with BrillrothI ( anastomosis (BI(), and to evaluate the application of DS.
METHODSBetween March 2013 and February 2014, 50 patients underwent TLDG with DS using linear staplers, and 43 patients underwent LADG with BI( using circular staplers. Clinical features and short-term efficacy of the two groups were analyzed retrospectively.
RESULTSThere were no significant differences between the two groups in terms of demographic indicators, operation time, intraoperative blood loss, number of removal lymph node, time to first flatus, incidence of complication and postoperative discharge day(all P>0.05). First-day postoperative pain was milder (3.1 ± 1.0 vs. 4.6 ± 1.4), and operative incision was shorter [(3.4 ± 0.4) cm vs. (6.9 ± 0.8) cm] significantly in TLDG with DS group(P<0.05).
CONCLUSIONTLDG with DS is safe and feasible for patients with gastric cancer, and has more advantages in cosmetic and comfort level than LADG with BI.
