Comparison of the short-term outcomes of laparoscopic and open total or proximal gastrectomy using the transorally inserted anvil (OrVilTM) for the proximal reconstruction: a propensity score matching analysis

Hong, Fanling; Wang, Yinkui; Zhang, Yan; Li, Shuangxi; Shan, Fei; Jia, Yongning; Li, Ziyu; Ji, Jiafu

doi:10.1007/s00423-021-02126-8

Cited by 3 publications

(2 citation statements)

References 30 publications

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“…Pulmonary infection after intrathoracic esophagojejunostomy is more common. Hong et al reported that the incidence of pulmonary complications after OrVil was about 14.5% [25]. Kan et al reported that 39 (18.14%) patients had postoperative pulmonary complications after OrVil anastomosis [26].…”

Section: Discussionmentioning

confidence: 99%

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Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction.

Huang¹,

Liu²,

Zhang³

et al. 2022

Videosurgery and Other Miniinvasive Techniques

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Introduction:The most common intrathoracic anastomosis techniques for Siewert type II adenocarcinoma of the esophagogastric junction (AEG) are the overlap and transorally inserted anvil (OrVil) methods. However, the criteria for choosing between these two methods require further study. Aim: This retrospective study aimed to compare the efficacy and safety of overlap versus OrVil anastomosis in transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction. Material and methods: A total of 34 patients with Siewert type II AEG who underwent transabdominal radical surgery and intrathoracic anastomosis with the overlap or OrVil methods at our center from January 2018 to June 2019 were retrospectively analyzed. The relevant surgical and postoperative complication data of the two groups were collected and analyzed. Results: Clinical characteristics: the mean tumor size was 7.5 ±2.4 cm in the OrVil group and 4.3 ±1.9 cm in the overlap group (p < 0.05). Surgery: the distance from the upper resection margin of the esophagus to the tumor was 3.2 ±0.84 cm in the OrVil group and 2.4 ±0.6 cm in the overlap group (p < 0.05). Postoperative complications: there were two cases of pleural effusion in the OrVil group and 18 cases of pleural effusion in the overlap group (p < 0.05). Conclusions: There is no significant difference between the OrVil and overlap anastomosis in terms of the feasibility and safety; however, OrVil anastomosis can provide a higher margin of resection of the esophagus and is suitable for tumors with extensive esophageal invasion.

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Section: Discussionmentioning

confidence: 99%

“…Hong et al . reported that the incidence of pulmonary complications after OrVil was about 14.5% [ 25 ]. Kan et al .…”

Section: Discussionmentioning

confidence: 99%

Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction.

Huang¹,

Liu²,

Zhang³

et al. 2022

Videosurgery and Other Miniinvasive Techniques

Self Cite

View full text Add to dashboard Cite

show abstract

Technical variety of anastomotic techniques used in proximal gastrectomy with double-tract-reconstruction - a narrative review

Tang,

Zhu,

et al. 2024

Langenbecks Arch Surg

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Exploration and optimization of surgical techniques for laparoscopic transhiatal lower mediastinal lymph node dissection for adenocarcinoma of esophagogastric junction: A prospective IDEAL 2a study with qualitative design

Wang

Hong

et al. 2023

Chinese Journal of Cancer Research

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Comparison of the short-term outcomes of laparoscopic and open total or proximal gastrectomy using the transorally inserted anvil (OrVilTM) for the proximal reconstruction: a propensity score matching analysis

Cited by 3 publications

References 30 publications

Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction.

Selection of two intrathoracic anastomosis methods for transabdominal radical surgery for Siewert type II adenocarcinoma of the esophagogastric junction.

Technical variety of anastomotic techniques used in proximal gastrectomy with double-tract-reconstruction - a narrative review

Exploration and optimization of surgical techniques for laparoscopic transhiatal lower mediastinal lymph node dissection for adenocarcinoma of esophagogastric junction: A prospective IDEAL 2a study with qualitative design

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