Delta-shaped anastomosis in total laparoscopic distal gastrectomy
10.3760/cma.j.issn.1007-631X.2015.10.003
- VernacularTitle:Delta吻合在完全腹腔镜下远端胃癌切除术中的应用
- Author:
Limin FENG
;
Gang LI
;
Huajie ZHANG
;
Xianchun SUN
;
Xiangqian GONG
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Anastomosis,surgical;
Gastrectomy;
Laparoscopy
- From:
Chinese Journal of General Surgery
2015;30(10):759-761
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of laparoscopically intracorporeal delta-shaped anastomosis in distal gastrectomy.Methods 82 consecutive patients with distal gastric cancer received laparoscopic distal gastrectomy, including intracorporeal delta-shaped anastomosis in 39 cases, and handassisted Billroth-Ⅰ anastomosis in 43 cases.The operative time, blood loss, anastomosis time were compared between the two groups.Results There were no differences between the two groups with regard to the operative time [(215 ± 24) min vs.(207 ± 13) min, t =0.406, P ＞ 0.05] and blood loss [(56 ±21)ml vs.(65 ± 26)ml, t =1.441, P ＞ 0.05], although the intracorporeal Delta-shaped anastomosis was more time-consuming than the extracorporeal Billroth-Ⅰ anastomosis [(17 ± 8) min vs.(12 ± 3) min, t =2.529, P ＜ 0.05].Conclusions Demanding expertise and some skills, totally laparoscopic distal gastrectomy with intracorporeal delta-shaped anastomosis is safe and feasible.
