Application of seven-stitch definitive suture in total laparoscopic total gastrectomy with esophagojejunostomy
10.3969/j.issn.1005-6483.20231732
- VernacularTitle:七针定式缝合法在腹腔镜全胃切除食管空肠手工吻合中的应用
- Author:
Fei LU
1
;
Hongfei LIU
;
Shuai WANG
;
Bo ZHANG
;
Zhongkuo ZHAO
Author Information
1. 322000 浙江省义乌市,浙江大学医学院附属第四医院普外科
- Publication Type:Journal Article
- Keywords:
gastric cancer;
laparoscopic total gastrectomy;
esophageal-jejunal anastomosis
- From:
Journal of Clinical Surgery
2024;32(12):1268-1271
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the application of seven-stitch definitive suture in total laparoscopic total gastrectomy with esophagojejunostomy.Methods From March 2021 to July 2022,14 patients with early and advanced upper gastric cancer were treated with total laparoscopic total gastrectomy,esophagojejunal anastomosis to reconstruct digestive tract,and manual anastomosis was optimized by seven-stitch definitive suture method for anastomosis.The operative time,intraoperative blood loss,intraoperative anastomosis reconstruction cost,postoperative complications,postoperative pathology and prognosis were analyzedResults The average operation time of the 14 patients was 300 minutes,the average intraoperative blood loss was 110 ml,and the average cost of consumables for resection and reconstruction was 16 767 yuan.Of the 14 patients,3 had perioperative complications.Conclusion Compared with instrument anastomosis,seven-stitch definitive suture avoids the risk of excessive tissue anastomosis tension and tissue compression caused by individual differences,does not increase the incidence of postoperative complications,reduces the medical cost of patients,and safely and effectively optimizes the process of endoscopic manual anastomosis.
