Esophagojejunostomy Using the Purse-String Suturing Device After Laparoscopic Total or Proximal Gastrectomy for Gastric Cancer
| Autor: | Toshiro Tanioka, Toshio Takayama, Kazuyuki Kojima, Kentaro Gokita, Norihito Ogawa, Sho Otsuki, Keisuke Okuno, Mikito Inokuchi |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Proximal gastrectomy Jejunostomy 030230 surgery Anastomosis 03 medical and health sciences 0302 clinical medicine Gastrectomy Stomach Neoplasms Medicine Humans Laparoscopic total gastrectomy Aged Retrospective Studies Aged 80 and over business.industry General surgery Suture Techniques Vascular surgery Middle Aged medicine.disease Cardiac surgery Surgery Stenosis Cardiothoracic surgery 030220 oncology & carcinogenesis Female Laparoscopy business Esophagostomy Abdominal surgery |
| Zdroj: | World journal of surgery. 41(10) |
| ISSN: | 1432-2323 |
| Popis: | Performing a safe esophagojejunostomy is important for the standardization of laparoscopic total gastrectomy. We have performed intracorporeal esophagojejunostomy by a circular stapler using the purse-string suturing device that we co-developed. The advantage of this device is that it makes use of the same surgical procedure as open surgery, but it does not depend on the surgeon’s technical skills since this device does not require the laparoscopic hand-sewn technique. Furthermore, we have also adapted this device for double-tract reconstruction after laparoscopic proximal gastrectomy. In this study, we present the surgical procedures and postoperative short-term outcomes that were obtained using this novel technique. We enrolled 94 patients that underwent intracorporeal esophagojejunostomy by circular stapler using our device after laparoscopic total or proximal gastrectomy for gastric cancer between November 2009 and October 2016. Postoperative complications related to esophagojejunostomy were due to anastomotic stenosis in two cases (2.1%) and leakage of the jejunum stump in one case (1.1%). Intracorporeal esophagojejunostomy by circular stapler using the purse-string suturing device is safe and feasible. This method can be one of the standard procedures for performing intracorporeal esophagojejunostomy. |
| Databáze: | OpenAIRE |
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