Intracorporeal Isosceles Right Triangle-shaped Anastomosis in Totally Laparoscopic Distal Gastrectomy. Issue 3 (June 2018)

• Record Type: Journal Article
• Authors: Nakamura, Kenichi; Suda, Koichi; Suzuki, Atsushi; Nakauchi, Masaya; Shibasaki, Susumu; Kikuchi, Kenji; Nakamura, Tetsuya; Kadoya, Shinichi; Inaba, Kazuki; Uyama, Ichiro
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 28:Issue 3(2018)
• Publication Date: 2018-06
• Subjects: stomach neoplasms -- minimally invasive surgical procedures -- reconstructive surgical procedures -- postoperative complications -- nutritional status; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000535
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : Purpose: This study aimed to evaluate the feasibility and safety of intracorporeal anastomosis with Billroth I, Billroth II, or Roux-en-Y reconstructions in totally laparoscopic distal gastrectomy. Materials and Methods: A single-institution, retrospective, cohort study including 553 patients was conducted. Intracorporeal isosceles right triangle-shaped anastomosis without slack and torsion was created using linear staplers. Billroth I was primarily used. Surgical outcomes and perioperative nutritional status were assessed. Results: Morbidity was 11.5%. Postoperative early complications related to anastomosis occurred in 13 patients (2.4%). Operative time and reconstruction type (Billroth I vs. others) were the only significant independent risk factors determining postoperative early and late complications, respectively. No difference was observed in postoperative changes in nutritional status across the groups, although Billroth II increased reflux esophagitis requiring medication. Conclusions: Intracorporeal isosceles right triangle-shaped anastomosis using linear staplers in totally laparoscopic distal gastrectomy, in combination with our selection algorithm for type of reconstruction, is feasible and safe.