Laparoscopic proximal gastrectomy with oblique jejunogastrostomy

Laparoscopic proximal gastrectomy with oblique jejunogastrostomy Background Proximal early gastric cancer is a good indica- 146–440) min. No patients required blood transfusions. The tion for totally laparoscopic proximal gastrectomy (TLPG) number of dissected lymph nodes was 32 (range 22–56). with double-tract reconstruction (DTR). However, when most There were no intraoperative complications, and no cases of the dietary intake passes through the escape route of the were converted to open surgery. All the patients were jejunum, the functional benefits of proximal gastrectomy pT1N0M0 stage IA. No anastomotic leakage or complications might be similar to those after total gastrectomy. Our DTR were detected. Postoperative gastrography after reconstruction procedure was improved for easy passage through the remnant showed that contrast medium flowed mainly to the remnant stomach. The purposes of this study were to present a novel stomach. The average percentage body weight loss was technique for intracorporeal DTR using linear staplers after 14.0 ± 7.1% at 10 months. The average percentage decrease TLPG and to investigate surgical outcomes. in serum hemoglobin was 5.4 ± 10.4% at 12 months. Methods DTR was performed using linear staplers only. A Conclusions This novel technique for intracorporeal DTR side-to-side jejunogastrostomy with twisting of both the rem- provided a considerable advantage by http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Langenbeck's Archives of Surgery Springer Journals
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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; General Surgery; Abdominal Surgery; Cardiac Surgery; Thoracic Surgery; Traumatic Surgery; Vascular Surgery
ISSN
1435-2443
eISSN
1435-2451
D.O.I.
10.1007/s00423-017-1587-4
Publisher site
See Article on Publisher Site

Abstract

Background Proximal early gastric cancer is a good indica- 146–440) min. No patients required blood transfusions. The tion for totally laparoscopic proximal gastrectomy (TLPG) number of dissected lymph nodes was 32 (range 22–56). with double-tract reconstruction (DTR). However, when most There were no intraoperative complications, and no cases of the dietary intake passes through the escape route of the were converted to open surgery. All the patients were jejunum, the functional benefits of proximal gastrectomy pT1N0M0 stage IA. No anastomotic leakage or complications might be similar to those after total gastrectomy. Our DTR were detected. Postoperative gastrography after reconstruction procedure was improved for easy passage through the remnant showed that contrast medium flowed mainly to the remnant stomach. The purposes of this study were to present a novel stomach. The average percentage body weight loss was technique for intracorporeal DTR using linear staplers after 14.0 ± 7.1% at 10 months. The average percentage decrease TLPG and to investigate surgical outcomes. in serum hemoglobin was 5.4 ± 10.4% at 12 months. Methods DTR was performed using linear staplers only. A Conclusions This novel technique for intracorporeal DTR side-to-side jejunogastrostomy with twisting of both the rem- provided a considerable advantage by

Journal

Langenbeck's Archives of SurgerySpringer Journals

Published: May 10, 2017

References

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