A novel anti-reflux reconstruction after laparoscopic total gastrectomy: jejunal pouch-esophageal anti-reflux anastomosis

Chen, Shi; Chen, Xijie; Chen, Dong-Wen; Xiang, Jun; Peng, Junsheng

doi:10.1093/gastro/goy019

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…В течение последних десятилетий в хирургии рака желудка широкое распространение получили лапароскопические и робот-ассиатсированные технологии. Многие виды реконструкций, например, реконструкция по Ру с формированием резервуара, были успешно адаптированы к малоинвазивным вмешательствам и успешно используются в лечении больных [58,59]. Однако, к сожалению, нам встретились лишь единичные описания лапароскопической ЕГП [60].…”

Section: реконструкции с интерпозицией тонкой кишкиunclassified

Methods of gastrointestinal tract reconstruction after gastrectomy for gastric cancer

Zamay

Комаров

Ivanov

2020

jour

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Stomach cancer is the third most deadly cancer in the world. Undoubtedly, the operative method is a priority in the treatment of stomach cancer. The history of development, formation and improvement of gastric cancer surgery dates back almost 140 years. During this time, the priority of numerous studies was to develop the most reliable and physiological method of reconstruction after gastrectomy. To date, the literature describes more than 70 different options for reconstruction after gastrectomy, many of which are used in practice. Globally, there are two main types of reconstructive stages after gastrectomy: without preservation and with preservation of the duodenal passage. The advantages and disadvantages of these stages after gastrectomy continue to be the subject of heated discussions among surgeons, as studies of the immediate and long-term results of various types of these operations are extremely contradictory. We did a historical literature review to identify the most optimal reconstruction method in patients with gastric cancer after gastrectomy.

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Section: реконструкции с интерпозицией тонкой кишкиunclassified

Methods of gastrointestinal tract reconstruction after gastrectomy for gastric cancer

Zamay

Комаров

Ivanov

2020

jour

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Functional jejunal interposition versus Roux-en-Y anastomosis after total gastrectomy for gastric cancer: A prospective randomized clinical trial

Wang

Chen

et al. 2020

Surgical Oncology

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The safety of esophagojejunostomy via a transorally inserted-anvil method vs extracorporeal anastomosis using a circular stapler during total gastrectomy for Siewert type 2 adenocarcinoma of the esophagogastric junction

Chen

Luo

et al. 2019

Gastroenterology Report

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Abstract Background Intracorporeal esophagojejunostomy via a transorally inserted-anvil method during laparoscopic total gastrectomy (LTG) for upper gastric cancer has been demonstrated to be feasible, but the use of this assessment exclusively for Siewert type 2 adenocarcinoma of the esophagogastric junction (AEG) has not been reported. Methods A total of 428 consecutive gastric-cancer patients who underwent LTG in Nanfang Hospital from January 2008 to December 2016 were reviewed. Among these patients, 98 were classified as Siewert type 2 AEG. The patients underwent intracorporeal esophagojejunostomy through either a transorally inserted-anvil method (n = 27) or extracorporeal anastomosis usinga circular stapler (n = 71). After generating propensity scores with covariates that were associated with developing anastomotic leakage, 26 patients who underwent esophagojejunostomy via the transorally inserted-anvil method (transoral group) were 1:1 matched with 26 patients who underwent the procedure via extracorporeal anastomosis using a circular stapler (extracorporeal group). The safety after 30 days post-operatively was compared between the two groups. Results The transoral group and extracorporeal group were balanced regarding the baseline variables. The operative time, reconstruction duration, number of dissected lymph nodes, length of the proximal resection margins, estimated blood loss, intra-operative complication rate, and post-operative recovery course were not significantly different between the two groups. The mean anvil-insertion completion time (9.7 ± 3.0 vs 13.4 ± 2.0 minutes, P < 0.001) and the median incision length (5.5 vs 7.0 cm, P < 0.001) in the transoral group were shorter than those in the extracorporeal group. The incidence of post-operative complications (26.9% vs 23.1%, P = 0.749) and the classification of complication severity (P = 0.939) were similar between the two groups. Conclusions Intracorporeal esophagojejunostomy through a transorally inserted-anvil method may be a potentially safe approach to simplify and optimize the procedure during LTG for Siewert type 2 AEG.

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A novel anti-reflux reconstruction after laparoscopic total gastrectomy: jejunal pouch-esophageal anti-reflux anastomosis

Cited by 3 publications

References 18 publications

Methods of gastrointestinal tract reconstruction after gastrectomy for gastric cancer

Methods of gastrointestinal tract reconstruction after gastrectomy for gastric cancer

Functional jejunal interposition versus Roux-en-Y anastomosis after total gastrectomy for gastric cancer: A prospective randomized clinical trial

The safety of esophagojejunostomy via a transorally inserted-anvil method vs extracorporeal anastomosis using a circular stapler during total gastrectomy for Siewert type 2 adenocarcinoma of the esophagogastric junction

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