Application value of modified closure of overlap anastomotic common opening in total laparoscopic radical gastrectomy
10.3760/cma.j.cn115610-20240826-00399
- VernacularTitle:改良关闭overlap吻合口共同开口方式在全腹腔镜根治性全胃切除术中的应用价值
- Author:
Wanhong ZHANG
1
;
YuChao MA
;
Linjie LI
;
Zhenhua WANG
;
Yipeng REN
;
Xueyi DANG
;
Yinan SHI
Author Information
1. 中国医学科学院肿瘤医院山西医院肝胆胰胃外科，太原 030013
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Total laparoscopic gastrectomy for gastric cancer;
Over-lap anastomosis;
Modified closure of the common opening;
Gastrointestinal recon
- From:
Chinese Journal of Digestive Surgery
2024;23(10):1354-1358
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of modified closure of overlap anastomotic common opening in total laparoscopic radical gastrectomy.Methods:The retrospec-tive and descriptive study was conducted. The clinicopathological data of 39 patients with gastric cancer who underwent total laparoscopic radical gastrectomy in Shanxi Hospital of Cancer Hospital, Chinese Academy of Medical Sciences from January 2023 to January 2024 were collected. There were 27 males and 12 females, aged (61±9)years. All patients underwent total laparoscopic radical gastrectomy for gastric cancer, with gastrointestinal reconstruction using overlap anastomosis and a modified closure of overlap anastomotic common opening. Measurement data with normal distribution were represented as Mean± SD, and count data were expressed as absolute numbers. Results:(1) Intraoperative and postoperative conditions. All 39 patients underwent total laparoscopic radical gastrectomy for gastric cancer, with gastrointestinal reconstruction using overlap anastomosis and a modified closure of overlap anastomotic common opening successfully, without conversion to open surgery or thoracotomy. The operation time of 39 patient was (210±52)minutes, with the volume of intraoperative blood loss of (132±55)mL, number of lymph node dissected of 23±11. The time to postoperative first flatus of 39 patients was (3.3±0.3)days, with time to postoperative liquid food intake of (4.4±0.6)days, time to postoperative semi-liquid food intake of (5.2±0.4)days, and duration of postoperative hospital stay of (9.5±3.1)days. (2) Complications. Seven of the 39 patients experienced perioperative complications, including 5 cases with complication classified as Clavien-Dindo grade Ⅱ, and 2 cases with complication classified as Clavien-Dindo grade Ⅲ. After conservative treatment, all patients with complications improved and were discharged. (3) Follow-up. Results of upper gastrointestinal imaging of the 39 patients showed no anastomotic leakage, and all patients were followed up at 1, 3, and 6 months after surgery. There was no other complications, tumor recurrence and metastasis, or mortality during the follow-up period.Conclusion:The modified closure of overlap anastomotic common opening in total laparoscopic radical gastrectomy has good safety and short-term efficacy.
