Intracorporeal circular-stapled esophagojejunostomy using hand-sewn purse-string suture after laparoscopic total gastrectomy

Kinoshita, Takahiro; Oshiro, Takashi; Ito, Katsuhiko; Shibasaki, Hidehito; Okazumi, Shinichi; Katoh, Ryoji

doi:10.1007/s00464-010-1041-y

Cited by 74 publications

(50 citation statements)

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“…The purse-string suture method is simple and is similar to the anastomosis method in open total gastrectomy. The safety of this method has been already reported by other institutions [18,19]. It requires fewer devices and costs less, and has the advantage of only rarely causing stenosis.…”

Section: Discussionmentioning

confidence: 64%

Feasibility of laparoscopy-assisted total gastrectomy in patients with clinical stage I gastric cancer

et al. 2013

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Background Laparoscopy-assisted total gastrectomy (LATG) for gastric cancer is not yet widespread because of the technical difficulty of reconstruction. We have performed LATG on 100 patients with clinical stage I gastric cancer. This study investigated the short-term outcomes of LATG. Methods Between September 2001 and September 2012, 100 patients with clinical stage I gastric cancer underwent LATG with D1 plus beta or D2 lymphadenectomy. Roux-en-Y esophagojejunostomy was performed intracorporeally using end-to-side anastomosis with a circular stapler (the purse-string suture method). The primary endpoint was the proportion of postoperative complications during hospitalization. Results Mean operation time was 249 min; mean blood loss was 182 ml. There were no conversions to open surgery. According to the Clavien-Dindo classification, there were 8 grade II (8 %) and 10 grade IIIa/b (10 %) complications. There were no treatment-related deaths or grade IV complications. The most frequent complication was anastomotic or stump leakage (6 %), followed by pancreatic fistula (5 %). Reoperations were required in two patients with leakage. Conclusions The short-term outcomes of LATG in our study involving 100 patients were outlined. LATG for gastric cancer patients should be attempted preferably in a clinical trial setting by surgeons with sufficient experience in laparoscopic gastrectomy.

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Section: Discussionmentioning

confidence: 64%

Feasibility of laparoscopy-assisted total gastrectomy in patients with clinical stage I gastric cancer

et al. 2013

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“…En gastrectomía total la situación es distinta ya que se debe realizar una anastomosis con el esófago, trabajando en la parte alta del abdomen. Para esta última anastomosis se han descrito múl-tiples técnicas, sin que exista un consenso sobre la mejor alternativa 13,21,[26][27][28][29] . En esta serie tuvimos 2 fistulas de la AEY.…”

Section: Discussionunclassified

Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público

Norero¹,

Báez²,

Briceño³

et al. 2015

Rev. méd. Chile

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“…Various end-to-side anastomosis techniques have also been consistently reported [17][18][19] . The key to this anastomosis is performing the purse-string suture and inserting the anvil into a fragile/contracted esophagus.…”

Section: Discussionmentioning

confidence: 99%

Intracorporeal esophagojejunostomy using the double stapling technique after laparoscopic total gastrectomy: A retrospective case-series study

Kim

Choi

Kim

et al. 2015

WJG

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AIM:To introduce a simple and safe anvil insertion technique to esophagus during laparoscopic total gastrectomy (LTG). METHODS:Between July 2010 and December 2012, 58 consecutive patients with early gastric cancer underwent LTG were enrolled. We performed a simple and safe Roux-en-Y esophagojejunostomy using the double stapling technique to all patients. Then patients' characteristics, perioperative outcome and histopathologic data were analyzed retrospectively. RESULTS:The mean age and body mass index were 59.3 ± 9.7 years and 22.7 ± 2.6 kg/m 2 . The mean operation, reconstruction and anvil insertion times (from gastric incision to linear stapling) were 251.8 ± 57.0, 43.1 ± 2.8 and 4.2 ± 1.9 min, respectively. Intraoperative blood loss was 204.6 ± 156.3 mL and there was no open conversion. The postoperative complications were in 8 cases (delayed gastric emptying in 4 cases, pulmonary complication in 2 cases, pancreatitis in 1 case, anastomotic stricture in 1 case). Anastomotic stricture occurred after discharge and was recovered by endoscopic intervention. The patients were discharged at a mean of 9.6 ± 2.0 d after surgery. Neither leakage nor bleeding from the esophagojejunostomy occurred postoperatively. The mean proximal margin of specimen was 2.7 ± 2.8 cm CONCLUSION: Roux-en Y esophagojejunostomy using

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Intracorporeal circular-stapled esophagojejunostomy using hand-sewn purse-string suture after laparoscopic total gastrectomy

Cited by 74 publications

References 15 publications

Feasibility of laparoscopy-assisted total gastrectomy in patients with clinical stage I gastric cancer

Feasibility of laparoscopy-assisted total gastrectomy in patients with clinical stage I gastric cancer

Gastrectomía totalmente laparoscópica por neoplasias gástricas: Experiencia en un centro público

Intracorporeal esophagojejunostomy using the double stapling technique after laparoscopic total gastrectomy: A retrospective case-series study

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