Application of esophagojejunal anastomosis after self-traction in total laparoscopic gastrectomy
10.3969/j.issn.1009-9905.2025.08.002
- VernacularTitle:全腹腔镜全胃切除术中自牵引后离断食管空肠吻合的应用
- Author:
Ai-shan CHEN
1
;
Sheng-guo GAO
;
Guo-kan GE
;
Yu-hua SHI
;
Han-kun HAO
Author Information
1. 南京医科大学盐城临床医学院(盐城市第三人民医院)普外科(江苏 盐城 224000)
- Publication Type:Journal Article
- Keywords:
Gastric tumor;
Total gastrectomy;
Laparoscopic;
Self-pulling latter transection esophagojejunostomy;
Esophagojejunal overlapping side-to-side anastomosis
- From:
Chinese Journal of Current Advances in General Surgery
2025;28(8):596-600
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application value of self-pulling latter transection(SPLT)in esophagojeju-nal anastomosis during total laparoscopic total gastrectomy.Methods:From January 2021 to December 2023,80 pa-tients who underwent total laparoscopic total gastrectomy at the Department of General Surgery,Yancheng Third People's Hospital,were selected.Patients were grouped based on the intraoperative esophagojejunal anastomosis method:the SPLT group(35 cases,using SPLT esophagojejunostomy)and the Overlap group(45 cases,using esoph-agojejunal overlapping side-to-side anastomosis).Surgical related indicators,complication incidence,nutritional status,and quality of life assessment were compared between the two groups.Results:The time to first postoperative anal exhaust,the number of lymph nodes dissected,and the postoperative hospital stay were compared between the two groups(P＞0.05).The SPLT group had shorter operation time and esophagojejunal anastomosis time,and less intraopera-tive blood loss compared to the control group(P＜0.05).The incidence of postoperative complications in the SPLT group was 8.57%,and in the Overlap group was 11.11%,with no significant difference between the two groups(P＞0.05).The nutritional status at 6 months postoperatively in the SPLT group[Hb(116.97±10.94)g/L、ALB(39.74±1.29)g/L、PA(0.30±0.45)g/L]and Overlap group[Hb(119.78±12.84)g/L、ALB(39.64±1.42)g/L、PA(0.30±0.36)g/L]were compared(P＞0.05).The quality of life assessment(overall health status,functional domains,symptom domains)at 6 months postoperatively between the SPLT group and the Overlap group was compared(P＞0.05).Conclusion:The use of SPLT esophagojeju-nal anastomosis in total laparoscopic total gastrectomy can improve the surgical efficiency,achieve high anastomosis,and its medium and short-term safety is comparable to that of esophagojejunal overlap side-to-side anastomosis.
