A novel intracorporeal esophagojejunostomy and esophagogastrostomy following laparoscopic gastrectomy
10.3760/cma.j.issn.1007-5232.2014.03.009
- VernacularTitle:腹腔镜胃切除后反式抵订座置入法行端端及端侧吻合术的临床应用
- Author:
Hao WANG
;
Meng WANG
;
Min FENG
;
Feng WANG
;
Linsen SHI
;
Xing KANG
;
Wenxian GUAN
- Publication Type:Journal Article
- Keywords:
Gastrectomy;
Anastomosis,surgical;
Laparoscopic surgical procedures
- From:
Chinese Journal of Digestive Endoscopy
2014;31(3):148-151
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of a novel anvil insertion technique in intracorporeal esophagojejunostomy and esophagogastrostomy after laparoscopic total or proximal gastrectomy.Methods A total of 40 patients with gastric cancer underwent laparoscopy-assisted radical total or proximal gastrectomy with lymph node dissection,followed by esophagojejunostomy or esophagogastrostomy using a reverse anvil insertion technique (the observation group,n =22) or traditional open surgery technique (the control group,n =18).Data of the two groups were compared.Results In observation group,laparoscopic total gastrectomy and esophagojejunostomy were successfully performed in 17 patients,laparoscopic proximal gastrectomy and esophagogastrostomy were successfully performed in the 5 patients,and no conversion to open surgery occurred.The mean time of operation was (272.0 ±49.8)min,including (12.9 ±4.3)min for anvil insertion and (48.1 ± 12.8)min for digestive tract reconstruction,which were significantly shorter than those in control group (P ＜ 0.05).The mean time of getting out of bed in observation group was (3.4 ± 0.8) d,the mean time of post-surgical eating was (8.0 ± 2.6) d,and the mean time of hospitalization was (10.8 ±3.3)d,which were all similar with those from the control group (P ＞0.05).Conclusion The reverse anvil insertion technique is a reliable strategy for laparoscopic esophagojejunostomy or esophagogastrostomy.
