Overlap Method: Novel Intracorporeal Esophagojejunostomy after Laparoscopic Total Gastrectomy

Inaba, Kazuki; Satoh, Seiji; Ishida, Yoshiteru; Taniguchi, Koki; Isogaki, Jun; Kanaya, Shigehiko; Uyama, Ichiro

doi:10.1016/j.jamcollsurg.2010.09.005

Cited by 222 publications

(163 citation statements)

References 20 publications

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“…It requires fewer devices and costs less, and has the advantage of only rarely causing stenosis. Besides the purse-string suture method, two anastomosis methods (the OrVil method and the overlap method) have been reported as useful anastomosis procedures in LATG [20][21][22][23]. Although we have performed LATG with the OrVil method or the overlap method for ten cases outside this study, the incidence of anastomotic leakage of grade IIIa/b was 30 % (3/10).…”

Section: Discussionmentioning

confidence: 84%

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: 84%

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

et al. 2013

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“…Two types of esophagojejunostomy have been reported using linear staplers, a functional end-to-end anastomosis [35][36][37][38] and a side-to-side anastomosis (or the overlap method) [39][40][41][42][43]. The functional end-to-end procedure is performed by inserting the linear stapler into the esophagus thorough a small hole on the left side of the esophageal stump and simultaneously lifting the jejunum to insert the stapler through a small hole on the opposite side of the jejunum mesenterium.…”

Section: Reconstruction Methods After Laparoscopic Total Gastrectomymentioning

confidence: 99%

A systematic review of laparoscopic total gastrectomy for gastric cancer

et al. 2015

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Background Laparoscopic total gastrectomy (LTG) has been performed since 1999. Although surgical outcomes have been reported from Japan, Korea, China, and many Western countries, the effectiveness of this technique has not been conclusively established. This study therefore aimed to review the literature systematically. Methods Our search of the research literature identified 150 studies, which were mostly retrospective and from single institutions. Results There has recently been a remarkable increase in the number of studies from Korea, and the number of patients included in studies has increased since 2009. In most studies, the surgical procedures were longer, blood loss was reduced, and the number of retrieved lymph nodes was the same in the LTG group as in the open total gastrectomy group. The incidence of postoperative complications and that of inflammation during postoperative recovery were the same in these two groups. Conclusions During LTG, the method used for esophagojejunostomy is important for surgical reliability and to reduce postoperative complications. There has been rapid development of new techniques from the level of esophagojejunostomy through a small skin incision to the high level of intracorporeal esophagojejunostomy using various techniques. A nationwide prospective phase II study is urgently needed to establish the value of LTG.

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“…При данном типе анастомоза общее технологическое отверстие от введения браншей сшивающего аппа-рата располагается на афферентной (приводящей) части соустья, что позволяет использовать для за-крытия этого отверстия второй сшивающий аппарат без риска уменьшения диаметра анастомоза. Метод overlap [17], используемый, например, для форми-рования эзофагоеюноанастомоза, напротив, отно-сится к группе изоперистальтических соустий. При данном типе анастомоза технологическое отверстие располагается на эфферентной (отводящей) части соустья и заглушенной кишки, что требует закры-тия отверстия ручным швом для предотвращения уменьшения диаметра анастомоза.…”

Section: рис 20 диссекция лимфатических узлов №9(l)unclassified

Technical aspects of totally laparoscopic distal gastrectomy with D2 lymph node dissection

Ишикава¹,

Ishida²,

Уяма³

et al. 2015

Endosk. khir.

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In this article we present the experience of laparoscopic surgery for distal gastric cancer. This work is a the result of collaboration between Japanese and Russian surgeons. Japanese authors started laparoscopic gastric surgery since the mid 90-ies of the last century. Laparoscopic subtotal gastrectomy was accompanied by D2 lymph node dissection. Reconstruction was carried out by intracorporeal formation delta-shaped gastroduodenostomy using linear stapler. This operation is positioned as a method of choice for distal localization of resectable gastric cancer. The article presents the technical aspects for laparoscopic D2 lymph node dissection and Billroth -I reconstruction as well.

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Overlap Method: Novel Intracorporeal Esophagojejunostomy after Laparoscopic Total Gastrectomy

Cited by 222 publications

References 20 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

A systematic review of laparoscopic total gastrectomy for gastric cancer

Technical aspects of totally laparoscopic distal gastrectomy with D2 lymph node dissection

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