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Modified Book Binding Technique (MBBT) for Intracorporeal Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy: Initial Experience
Journal of Gastric Cancer ; : 355-364, 2019.
Artículo en Inglés | WPRIM | ID: wpr-764495
ABSTRACT
Totally laparoscopic distal gastrectomy (TLDG) frequently involves the use of delta shaped gastroduodenostomy (DSG) for intracorporeal anastomosis. However, DSG has some drawbacks, and the book binding technique (BBT) was developed as a new technique to overcome these drawbacks. Subsequently, this technique was further improved with the development of modified book binding technique (MBBT). This study evaluated the safety and feasibility of MBBT in patients undergoing TLDG. Thirty-three patients who underwent TLDG with MBBT were retrospectively evaluated. The mean operation time was 277.6±37.1 minutes, including 51.9±15.7 minutes for reconstruction. Two patients had anastomosis-related complications, one patient with stricture after leakage and 1 patient with stenosis. The former patient was treated with endoscopic balloon dilatation, and the latter was managed conservatively; neither required re-operation. MBBT is a safe and feasible technique, with acceptable surgical outcomes. It may be a good alternative option for the treatment of intracorporeal anastomosis in patients undergoing TLDG.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neoplasias Gástricas / Anastomosis Quirúrgica / Estudios Retrospectivos / Laparoscopía / Constricción Patológica / Dilatación / Gastrectomía Tipo de estudio: Estudio observacional Límite: Humanos Idioma: Inglés Revista: Journal of Gastric Cancer Año: 2019 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neoplasias Gástricas / Anastomosis Quirúrgica / Estudios Retrospectivos / Laparoscopía / Constricción Patológica / Dilatación / Gastrectomía Tipo de estudio: Estudio observacional Límite: Humanos Idioma: Inglés Revista: Journal of Gastric Cancer Año: 2019 Tipo del documento: Artículo