Functional end to end esophagojejunostomy without previous resection of esophagus and jejunum by linear stapler in the totally laparoscopic gastrectomy: Experience in 106 patients

Abstract

Introduction: We aimed to evaluate the outcomes of the technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of the esophagus and jejunum in the totally laparoscopic total gastrectomy (TLTG) and report experience in 106 patients. Patients and methods: A prospective observational study on patients received technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum in TLTG between July 2017 and July 2022. Results: We included 106 patients with a mean age of 63.2 ± 11.7 (26 – 88). 10.4% of patients having tumors in the upper third of the stomach and 88.7% of patients having tumors in the middle of the stomach. There were 4.7% of cases having incidents during the surgery and 3.6% of cases having complications after the surgery. There were 2 (1.8%) cases of technical errors in making functional end to end esophagojejunostomy during surgery. No anastomotic leakage or death was observed after the surgery. The operation time was 201.5 ± 29.0 (145 - 270) minutes. The mean hospital stay was 7.56 ± 2.23 (5 - 15) days. 04 (3.6%) cases of reflux esophagitis, and 03 (2.7%) mild stenosis of the anastomosis after surgery, and 1 (0.9%) recurrence at the anastomosis after surgery. Conclusion:The technique of functional end-to-end esophagojejunostomy by linear stapler without previous resection of esophagus and jejunum was safe and effective in TLTG. Keywords: Esophagojejunostomy in laparoscopy, The technique of functional end-to-end.