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A new technique for esophagojejunostomy or esophagogastrostomy after laparoscopic gastrectomy / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery ; (12): 29-32, 2010.
Article in Chinese | WPRIM | ID: wpr-259347
ABSTRACT
<p><b>OBJECTIVE</b>To report the newly developed reconstruction technique after laparoscopic total gastrectomy intracorporeal circular stapling esophagojejunostomy using the transorally inserted anvil (OrVil; Covidien), and evaluate its feasibility, safety, and clinical outcomes.</p><p><b>METHODS</b>After LTG (3 patients with gastric carcinoma in the body) or LPG (2 patients with gastric carcinoma in the cardiac and fundus, respectively, and 1 with cardiac stromal tumor), the anvil was then inserted transorally into the esophagus by using the OrVil system. Double-stapling esophagojejunostomy or esophagogastrostomy with a circular stapler was performed intracorporeally.</p><p><b>RESULTS</b>The operations were uneventful. The operative time was (183.3+/-25.8) min, and blood loss was (128.3+/-90.2) ml. Postoperative fluorography revealed no anastomotic leakage or stenosis. Patients resumed an oral liquid diet on postoperative day (4.0+/-1.1), and were discharged on day (9.0+/-2.6). Patients were followed at 28 days and no complications were reported.</p><p><b>CONCLUSIONS</b>LTG with Roux-en-Y reconstruction or LPG with esophagogastrostomy using the OrVil system appear to be safe and reliable with satisfactory short-term outcomes.</p>
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Anastomosis, Surgical / Laparoscopy / Gastric Stump / Esophagus / Gastrectomy / Jejunum / Methods Limits: Humans Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2010 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: General Surgery / Anastomosis, Surgical / Laparoscopy / Gastric Stump / Esophagus / Gastrectomy / Jejunum / Methods Limits: Humans Language: Chinese Journal: Chinese Journal of Gastrointestinal Surgery Year: 2010 Type: Article