Transoral Orvil EEA stapler (OrVil) in laparoscopy-assisted total gastrectomy for cardiac carcinoma
10.3760/cma.j.issn.1007-631X.2016.08.008
- VernacularTitle:OrVil吻合技术在腹腔镜贲门癌手术中的应用
- Author:
Shuai GONG
;
Pengbo ZHANG
;
Xiuzhong ZHANG
;
Chong ZHANG
;
Dan YAO
;
Zeqiang REN
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Gastrectomy;
Laparoscopes
- From:
Chinese Journal of General Surgery
2016;31(8):639-642
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate transoral Orvil EEA stapler (OrVil) procedure in laparoscopic total gastrectomy for cardiac carcinoma compared with conventional anvil head method (purse-string suture).Methods From May 2014 to December 2014 20 cases were included into OrVil group,and 25 cases into purse-string suture group.Results The two groups had similar mean numbers of dissected lymph nodes [(25 ± 3) vs.(24 ± 4),t =1.067,P =0.292],the mean time of operation,intraoperative blood loss,and postoperative complications (5 vs.6,P =0.938).The length of incision was significantly shorter [(5 ±1) cm vs.(11 ± 2) cm,t =-10.724,P < 0.0l] and the esophagojejunostomy time was significantly less [(28 ± 4) min vs.(39 ± 5) min,t =-7.996,P < 0.01] with the use of OrVil.The time to first flatus and postoperative hospital stay were (3.7 ± 0.9) d vs.(4.4 ± 1.0) d,t =-2.485,P =0.017 and (13 ± 5) d vs.(16 ±4) d,t =-2.184,P =0.035.Conclusions OrVil is a technically safe and feasible surgical procedure for esophagojejunostomy in laparoscopy assisted total gastrectomy in the treatment of cardiac carcinoma.