Technical and Survival Risks Associated With Esophagojejunostomy by Laparoscopic Total Gastrectomy for Gastric Carcinoma
| Autor: | Kazuhito Minami, Shohei Yamaguchi, Yasushi Toh, Hiroyuki Kawano, Yoshihisa Sakaguchi, Akinori Egashira, Manabu Yamamoto, Masaru Morita |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Operative Time Blood Loss Surgical Jejunostomy Gastric carcinoma Anastomosis Body Mass Index Surgical methods 03 medical and health sciences Postoperative Complications 0302 clinical medicine Blood loss Gastrectomy Risk Factors Stomach Neoplasms Surgical Stapling Humans Medicine Laparoscopic total gastrectomy Aged business.industry General surgery Anastomosis Surgical Middle Aged 030220 oncology & carcinogenesis Operative time Female Laparoscopy 030211 gastroenterology & hepatology Surgery Esophagostomy business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 27:197-202 |
| ISSN: | 1530-4515 |
| Popis: | We performed esophagojejunostomy after totally laparoscopic total gastrectomy (TLTG) using functional end-to-end anastomosis (FEEA) as the first choice and laparoscopic-assisted total gastrectomy (LATG) using a circular stapler with a transorally inserted anvil as the second choice.We examined 109 patients with gastric cancer who underwent TLTG and LATG. Among these, 100 patients underwent TLTG and the rest underwent LATG.The length of resected esophageal segment in LATG patients was significantly longer than that in TLTG patients (P0.001). The length of the resected esophagus segment was inversely correlated with body mass index in cases of esophagojejunostomy by FEEA (P0.05). Multivariate analysis revealed that T factor, N factor, and severe complications were the independent factors for survival.Esophagojejunostomy using FEEA or a circular stapler with a transorally inserted anvil should be selected according to the length of the resected esophageal segment and/or body mass index. |
| Databáze: | OpenAIRE |
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