Technical Feasibility and Short-Term Outcome of Intracorporeal Hand-Sewn Esophagojejunostomy After Laparoscopic Total Gastrectomy: Our Experience

被引:3
作者
Puntambekar, Shailesh [1 ]
Badran, Reda [1 ,2 ]
Parikh, Hirav [1 ]
Bansal, Arpit [1 ]
Sharma, Vikrant [1 ]
Chitale, Mihir [1 ]
Jadhav, Saptesh [1 ]
机构
[1] Galaxy Care Laparoscopy Inst, 25 AErandwane,Karve Rd, Pune 411004, Maharashtra, India
[2] MTH, Cairo, Egypt
关键词
Stomach cancer; Laparoscopy; Gastrectomy; Esophagojejunostomy; ASSISTED DISTAL GASTRECTOMY; LYMPH-NODE DISSECTION; EARLY GASTRIC-CANCER; PURSE-STRING SUTURE; SAFETY; MULTICENTER; MORTALITY;
D O I
10.1007/s12262-016-1509-7
中图分类号
R61 [外科手术学];
学科分类号
摘要
The purpose of this study was to demonstrate the safety and technical feasibility of intracorporeal hand-sewn esophagojejunostomy after laparoscopic total gastrectomy. Laparoscopic total gastrectomy (LTG) is a technically challenging procedure, especially for esophagojejunal anastomosis (EJA). Various techniques have been described to overcome these difficulties using staplers with variable results. We report successfully performed complete intracorporeal hand-sewn EJA after LTG. The perioperative clinical data and short-term outcomes for 30 patients who underwent LTG using hand-sewn EJA for gastric cancer between 2013 and 2015 have been retrospectively reviewed. The mean age was 49.9 years; 64 % of patients were male and 36 % were female. The mean body mass index (kg/m(2)) was 22.4, and the mean American Society of Anesthesiologists (ASA) score was 1.4. Eleven patients had co-morbidities, and six patients had previous abdominal operations. The mean operative time, time for EJA, and blood loss was 136.9 min, 13.25 min, and 166 ml, respectively. The conversion rate was nil. The mean time for the first oral feeding and mean hospital stay was 8.3 and 9.8 days respectively. The postoperative complications were found in 16 % of patients with one case of 30-day mortality because of lobar pneumonia. There were three cases of anastomotic stenosis; however, no leakage was identified both clinically and radiologically. Complete intracorporeal hand-sewn EJA is a safe and feasible technique in the hands of experienced surgeons that can be considered as an alternative cost-effective method when performing LTG.
引用
收藏
页码:497 / 503
页数:7
相关论文
共 30 条
[1]   Cancer mortality in India: a nationally representative survey [J].
Dikshit, Rajesh ;
Gupta, Prakash C. ;
Ramasundarahettige, Chinthanie ;
Gajalakshmi, Vendhan ;
Aleksandrowicz, Lukasz ;
Badwe, Rajendra ;
Kumar, Rajesh ;
Roy, Sandip ;
Suraweera, Wilson ;
Bray, Freddie ;
Mallath, Mohandas ;
Singh, Poonam K. ;
Sinha, Dhirendra N. ;
Shet, Arun S. ;
Gelband, Hellen ;
Jha, Prabhat .
LANCET, 2012, 379 (9828) :1807-1816
[2]   Epidemiological review of gastric cancer in India [J].
Dikshit, Rajesh P. ;
Mathur, Garima ;
Mhatre, Sharayu ;
Yeole, B. B. .
INDIAN JOURNAL OF MEDICAL AND PAEDIATRIC ONCOLOGY, 2011, 32 (01) :3-11
[3]  
Ferlay J., 2010, GLOBOCAN 2008 CANC I
[4]   Overlap Method: Novel Intracorporeal Esophagojejunostomy after Laparoscopic Total Gastrectomy [J].
Inaba, Kazuki ;
Satoh, Seiji ;
Ishida, Yoshinori ;
Taniguchi, Keizo ;
Isogaki, Jun ;
Kanaya, Seiichiro ;
Uyama, Ichiro .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2010, 211 (06) :E25-E29
[5]   Evaluation of the safety and efficacy of esophagojejunostomy after totally laparoscopic total gastrectomy using a trans-orally inserted anvil: a single-center comparative study [J].
Ito, Hiroaki ;
Inoue, Haruhiro ;
Odaka, Noriko ;
Satodate, Hitoshi ;
Onimaru, Manabu ;
Ikeda, Haruo ;
Takayanagi, Daisuke ;
Nakahara, Kenta ;
Kudo, Shin-ei .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2014, 28 (06) :1929-1935
[6]   Laparoscopy-assisted total gastrectomy for gastric cancer: A multicenter retrospective analysis [J].
Jeong, Gui-Ae ;
Cho, Gyu-Seok ;
Kim, Hyung-Ho ;
Lee, Hyuk-Joon ;
Ryu, Seung-Wan ;
Song, Kyo-Young .
SURGERY, 2009, 146 (03) :469-474
[7]   Intracorporeal circular stapling esophagojejunostomy using the transorally inserted anvil (OrVil™) after laparoscopic total gastrectomy [J].
Jeong, Oh ;
Park, Young Kyu .
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2009, 23 (11) :2624-2630
[8]   Safety of intracorporeal circular stapling esophagojejunostomy using trans-orally inserted anvil (OrVil™) following laparoscopic total or proximal gastrectomy - comparison with extracorporeal anastomosis [J].
Jung, Yoon Ju ;
Kim, Dong Jin ;
Lee, Jun Hyun ;
Kim, Wook .
WORLD JOURNAL OF SURGICAL ONCOLOGY, 2013, 11
[9]   Morbidity and Mortality of Laparoscopic Gastrectomy Versus Open Gastrectomy for Gastric Cancer An Interim Report-A Phase III Multicenter, Prospective, Randomized Trial (KLASS Trial) [J].
Kim, Hyung-Ho ;
Hyung, Woo Jin ;
Cho, Gyu Seok ;
Kim, Min Chan ;
Han, Sang-Uk ;
Kim, Wook ;
Ryu, Seung-Wan ;
Lee, Hyuk-Joon ;
Song, Kyo Young .
ANNALS OF SURGERY, 2010, 251 (03) :417-420
[10]   Surgical outcome of laparoscopy-assisted gastrectomy with extraperigastric lymph node dissection for gastric cancer [J].
Kim, MC ;
Kim, HH ;
Jung, GJ .
EJSO, 2005, 31 (04) :401-405