Reverse puncture device technique: an innovation of esophagojejunostomy in radical laparoscopic total gastrectomy

被引：6

作者：

Huang, Xiaoxu ^{[1
]}

Xu, Li ^{[1
]}

Peng, Hui ^{[2
]}

Hu, Hao ^{[1
]}

Jin, Yan ^{[1
]}

Sun, Dayong ^{[3
]}

Hu, Kaifeng ^{[1
]}

Xia, Yabin ^{[1
]}

机构：

[1] Wannan Med Coll, Dept Gastrointestinal Surg, Affiliated Yijishan Hosp 1, Wuhu, Anhui, Peoples R China

[2] Wannan Med Coll, Affiliated Yijishan Hosp 1, Adm Off Hosp Admiss & Discharge, Wuhu, Anhui, Peoples R China

[3] Peoples Hosp Linquan Cty, Dept Gen Surg, Fuyang, Anhui, Peoples R China

来源：

FUTURE ONCOLOGY | 2019年 / 15卷 / 24期

关键词：

complication; gastric cancer; laparoscopic surgery; propensity score matching; reverse puncture device technique; CIRCULAR-STAPLED ESOPHAGOJEJUNOSTOMY; PURSE-STRING SUTURE; SHORT-TERM OUTCOMES; BODY-MASS INDEX; GASTRIC-CANCER; DISTAL GASTRECTOMY; DIGESTIVE-TRACT; RECONSTRUCTION; COMPLICATIONS; ANASTOMOSIS;

D O I：

10.2217/fon-2018-0837

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Aim: To evaluate the feasibility, safety, short- and long-term efficacy of a reverse puncture device (RPD) technique for esophagojejunostomy in laparoscopic-assisted total gastrectomy. Patients & methods: This retrospective study analyzed outcome data of 104 patients in propensity score matching whom were divided into the RPD and the purse-string suture technique group. Results: The RPD group had a shorter anvil placement time, shorter operative time, longer resected esophageal length, shorter incision length, shorter postoperative drainage time, shorter postoperative hospital stay and anastomotic complications than the purse-string suture technique group (p < 0.05). Multivariate analysis showed that BMI (odds ratio: 6.285, 1.446-27.322) and anvil placement time (odds ratio: 5.645, 1.089-29.321) were independent risk factors for anastomotic complications (p < 0.05). Conclusion: Laparoscopic-assisted total gastrectomy using an RPD technique is feasible, safe and effective.

引用

页码：2807 / 2817

页数：11

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