Application of delta-shaped anastomosis in totally laparoscopic distal gastrectomy

VernacularTitle:腹腔镜下远端胃癌根治术中三角吻合技术的运用
Author: Zhou LI ; Shuhua LI
Publication Type:Journal Article
Keywords: Stomach neoplasms; Laparoscopy; Delta -shaped anastomosis; Safty
From: Chinese Journal of Primary Medicine and Pharmacy 2015;(13):1977-1979
CountryChina
Language:Chinese
Abstract: Objective To observe the technical feasibility and safety of delta -shaped (DS)anastomosis in totally laparoscopic distal gastrectomy (TLDG).Methods A retrospective analysis of 9 cases underwent TLDG with D2 lymphadenectomy and DS anastomosis.Results All the patients underwent TLDG with D2 lymphadenectomy and DS anastomosis successfully by the same doctor and his team.The total operative time was (178 ±43)minutes,and the DS anastomosis time was (32 ±8)minutes.All the patients achieved microscopic cancer -free margin and the number of lymph nodes harvested was (27 ±8)per patient.The average time to flatus,time to fluid diet were (3.8 ± 1.7)days and (3.9 ±1.8)days respectivly.One patient developed to fat liquefaction of incision,and one developed to urinary tract infection after the operation.No anastomotic bleeding,anastomotic leakage,anastomotic stenosis or other anastomotic complications happened among all patients.Conclusion DS anastomosis is safe and convenient.It is an ideal choice for reconstruction in TLDG with D2 lymphadenectomy.