Clinical value of transorally inserted anvil in esophagojejunostomy after laparoscopic total gastrectomy for gastric cancer
10.3760/cma.j.issn.1673-9752.2012.03.006
- VernacularTitle:经口抵钉座置入系统在胃癌腹腔镜全胃切除术消化道重建中的临床价值
- Author:
Tingyu MOU
;
Yanfeng HU
;
Jiang YU
;
Yanan WANG
;
Liying ZHAO
;
Guoxin LI
- Publication Type:Journal Article
- Keywords:
Gastric neoplasms;
Laparoscopy;
Gastrectomy;
Digestive tract reconstruction
- From:
Chinese Journal of Digestive Surgery
2012;11(3):211-214
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate the safety and feasibility of esophagojejunostomy using transorally inserted anvil ( OrVilTM ) after laparoscopic total gastrectomy for gastric cancer.MethodsThe clinical data of 8 patients with advanced gastric cancer who were admitted to the Nanfang Hospital of Southern Medical University from January 2011 to Febuary 2012 were retrospectively analyzed.Laparoscopic total gastrectomy + D2 lymph node dissection was first performed,and then esophagojejunostomy was completed using OrVilTM. Perioperative condition and prognosis of the patients were analyzed.ResultsAll the procedures were completed successfully,with no complications occurred.There was no extension of the incisiou during operatiou.The mean operation time,anvil inserting time and volume of operative blood loss were (203 + 38 ) minutes,( 10 -+ 4) minutes and ( 106 ± 18 )ml,respectively.Tumor-free proximal margins were confirmed by pathological examination in all the patients.The mean time to first flatus,time to liquid and semi-liquid diet and duration of hospital stay were (3.5 ± 1.3 )days,(5.5 ± 2.9 ) days,( 7.5 ± 3.2) days and ( 11.5 ± 3.5 ) days.The mean time of follow-up was 10 months ( rauge,1-14 months),no anatomosis-related complications were observed.Conclusion Esophagojejunostomy using OrVilTM after laparoscopic total gastrectomy for gastric cancer is safe and feasible.
