Laparoscopic circular stapled gastrointestinal anastomosis using novel device of sealed cap access after total laparoscopic gastrectomy.
10.3760/cma.j.cn.441530-20210401-00139
- Author:
Jian Jun DU
1
;
Hong Yuan XUE
1
;
Li Zhi ZHAO
2
;
Zi Qiang ZHANG
1
;
Yong Gang XU
1
;
Jian HU
3
;
Lin YE
4
;
Chang Da YU
4
;
Yuan Qiang DONG
5
Author Information
1. Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.
2. Department of Digestive Surgery, Hanzhong Central Hospital, Hanzhong, Shanxi 723000, China.
3. Department of Gastrointestinal Surgery, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.
4. Department of General Surgery, Jiujiang No.1 People's Hospital, Jiujiang, Jiangxi 332000, China.
5. Department of General Surgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
- Publication Type:Journal Article
- Keywords:
Circular stapler;
Digestive tract reconstruction;
Gastric neoplasms;
Total laparoscopic surgery
- MeSH:
Anastomosis, Surgical;
China;
Gastrectomy;
Humans;
Laparoscopy;
Stomach Neoplasms/surgery*;
Surgical Stapling
- From:
Chinese Journal of Gastrointestinal Surgery
2021;24(4):370-371
- CountryChina
- Language:Chinese
-
Abstract:
Intracorporeal classic gastrointestinal anastomosis using circular stapler in totally laparoscopic gastrectomy (TLG) for gastric cancer requires intracorporeal anvil placement and suitable access for introduction of the circular stapler to the abdominal cavity without gas leak. The novel techniques for anvil placement have been updated, but there is no progress for proper access for circular stapler. In the study, intracorporeal circular-stapled gastrointestinal anastomosis were successfully accomplished using a novel device of sealed cap access with a central hole (WLB-60/70-60/100, Wuhan Widerep Medical Instrument Co.,Ltd, China) customized to the incision protection retractor for the simple and accessible introduction of the circular stapler and anvil under the optimal maintenance of pneumoperitoneum pressure in TLG. In these 3 cases, there was no gas leakage and the pneumoperitoneum was well maintained when performing the gastrointestinal anastomosis, and there was no transition to laparotomy or other anastomosis techniques. The result suggests that the sealed cap access could be a novel choice for introduction of the circular stapler to the abdominal cavity in order to obtain laparoscopic circular-stapled gastroin-testinal anastomosis in TLG.
