2014
DOI: 10.1590/s0102-67202014000100017
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Abstract: BackgroundThe laparoscopic gastrectomy is a relatively new procedure due mainly to the difficulties related to lymphadenectomy and reconstruction. Until the moment, technique or device to perform the esophagojejunal anastomosis by laparoscopy is still a challenge. So, a safe, cheap and quickly performing technique is desirable to be developed.AimTo present technique proposed by the authors with its technical details on reconstruction with "reverse anvil".MethodAfter total gastrectomy completed intra-corporeall… Show more

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Cited by 6 publications
(3 citation statements)
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“…As to the resection of the organs associated to the removed stomach with neoplasia, which in this study occurred in 32.4% of the cases, there was no difference between groups (p=1.00), which meets the literature 26 , 16 .…”
Section: Discussionsupporting
confidence: 81%
See 1 more Smart Citation
“…As to the resection of the organs associated to the removed stomach with neoplasia, which in this study occurred in 32.4% of the cases, there was no difference between groups (p=1.00), which meets the literature 26 , 16 .…”
Section: Discussionsupporting
confidence: 81%
“…Another limiting factor was the esophagojejunal anastomosis, requiring great skill of the surgeon 13 . The technique used for the intracavity esophagojejunal anastomosis performed here follows the standardization developed by the Barretos Cancer Hospital staff known as "reverse warhead" 16 . It is believed that the longer surgical time in the laparoscopic route of access observed in most published series is due mainly to the recent indication of the technique as a surgical treatment of gastric cancer.…”
Section: Discussionmentioning
confidence: 99%
“…In order to perform esophagojejunal anastomosis laparoscopically, techniques such as using transorally inserted anvil (OrVil™), overlap technique and reverse anvil technique have been described. 20 - 22 In case series using transorally inserted anvil, a wide leak percentage range of 0.5-16.7% has been reported by Zuiki et al In the series of 52 cases reported, this rate was reported as 1.9% and the rate of anastomosis stricture was as high as 21%. 23 On the other hand, overlap anastomosis was performed predominantly.…”
Section: Discussionmentioning
confidence: 95%