Comparison of Clinical Outcomes Between Delta-Shaped and Circular Anastomoses After Laparoscopic Distal Gastrectomy.

Autor: Yamada T; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Nagasawa S; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Kanematsu K; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Morita J; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Onuma S; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Tanabe M; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Nakayama Y; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Shiozawa M; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Yamamoto N; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Ogata T; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan., Oshima T; Department of Gastrointestinal Surgery, Kanagawa Cancer Center, Kanagawa, Japan.
Jazyk: angličtina
Zdroj: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2025 Jan-Dec; Vol. 18 (1), pp. e70014.
DOI: 10.1111/ases.70014
Abstrakt: Introduction: Laparoscopic distal gastrectomy (LDG) is the standard treatment for gastric cancer, during which the laparoscopic Billroth I anastomosis technique, also known as the delta-shaped anastomosis (DA), is widely performed. This study aimed to evaluate the differences in short- and long-term symptoms between DA and traditional circular anastomosis (CA) techniques.
Methods: We retrospectively compared DA and CA procedures in patients undergoing LDG and subsequent reconstruction using the Billroth I method at the Kanagawa Cancer Center from 2017 to 2022.
Results: Other than blood loss, no significant differences were observed in the short-term outcomes between the two groups. However, 1-year post-surgery, the DA group had a higher incidence of diarrhea, lower incidence of remnant gastritis, and higher weight loss than the CA group.
Conclusion: Both DA and CA techniques were similar in terms of safety. However, the DA group had a higher incidence of diarrhea and a lower incidence of remnant gastritis than the CA group 1-year after surgery.
(© 2024 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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