Intracorporeal esophagojejunal anastomosis after laparoscopic total gastrectomy for patients with gastric cancer.
スポンサーリンク
概要
- 論文の詳細を見る
BACKGROUND: To facilitate acceptance of laparoscopic total gastrectomy (LTG) for patients with upper gastric cancer, a simple, secure technique of reconstruction is necessary. The authors developed a new technique for intracorporeal esophagojejunal anastomosis that does not require hand sewing. METHODS: From September 2006 to January 2008, 16 patients (11 men and 5 women) with gastric cancer underwent LTG at the authors' institution. Laparoscopic esophagojejunal anastomosis using the following method was attempted for all patients. The esophagus was transected while being rotated by about 45 degrees counterclockwise to make the subsequent anastomosis easier. After the Y-anastomosis was created, an endoscopic linear stapler was applied to create a side-to-side anastomosis between the left dorsal side of the esophagus and the jejunal limb. The entry hole was first closed roughly with hernia staplers. Subsequently, an endoscopic linear stapler was applied so that all hernia staplers could be removed and the closure completed. RESULTS: Laparoscopic esophagojejunal anastomosis was successfully performed for 15 patients. Intracorporeal anastomosis failed for one patient because a nasogastric tube was caught between the jaws of an endostapler, which resulted in a conversion to open procedure. No postoperative anastomotic complications occurred. CONCLUSIONS: Using the new technique, intracorporeal linear-stapled esophagojejunal anastomosis can be performed easily and securely. This technique could become one of the standard methods for reconstruction after LTG, facilitating the acceptance of LTG as a surgical option for patients with upper gastric cancer.
論文 | ランダム
- Recent Progress with Peroxidase-Labeled Antibody Method (Symposium on the Enzyme-labeled Anitibody Method)
- Management of adenocarcinoma of the appendix
- 脊索の誘導能力に関する実験に際して観察された甲状腺組織像の変化〔英文〕
- 甲状腺予想原基材料を含む原口背唇の移植実験
- 家族の連帯の重要性--子どもの自立尊重の援助 (家庭環境と児童虐待) -- (子どもの人権と児童虐待)