Application of delta-shaped anastomosis in totally laparoscopic distal gastrectomy digestive tract reconstruction of gastric cancer
10.3760/cma.j.issn.1006-9801.2017.11.008
- VernacularTitle:三角吻合术在全腹腔镜远端胃癌根治术消化道重建中的应用
- Author:
Qingxing HUANG
1
;
Jun MA
;
Aihong CAO
;
Jianhong DONG
;
Kai TAO
;
Zhenhua WANG
;
Xiaobo LIANG
Author Information
1. 山西医科大学附属肿瘤医院消化内镜-微创外科中心
- Keywords:
Stomach neoplasms;
Laparoscopes;
Digestive tract reconstruction;
Delta-shaped anastomosis
- From:
Cancer Research and Clinic
2017;29(11):753-756
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and safety of delta-shaped anastomosis in totally laparoscopic distal gastrectomy digestive tract reconstruction of gastric cancer. Methods Clinical data of 26 patients with distal gastric cancer who received total laparoscopic distal gastrectomy with delta-shaped anastomosis from August 2013 to December 2014 were retrospectively analyzed. Results A total of 26 patients were successfully performed by laparoscopic distal gastrectomy with delta-shaped anastomosis. The operative time and delta-shaped anastomosis time was (186 ±28) min and (30 ±24) min respectively. The lengths of upper and lower segment of resection from gastric cancer were (4.9±1.2) cm and (3.5±1.5) cm respectively. Blood loss was (67±39) ml and the number of dissected lymph nodes was (27±11) for every patient. First time to ground activities, first flatus, time to fluid diet and hospital stay were respectively (1.7±0.8) d, (3.5±1.3) d, (4.2±1.6) d and (12±4 ) d. Pathological results showed upper and lower segment of resection cancers were not found. Only 1 patient had gastric small curved stump fistula and recovered after conservative treatment. There were no complications related to the anastomosis in all patients. Conclusion The delta-shaped anastomosis is safe and feasible for totally laparoscopic distal gastrectomy digestive tract reconstruction of gastric cancer with satisfactory short-term efficacy.
