Handover method: Simple, classic and harmonized intracorporeal closure of stapled duodenal stump during laparoscopic gastrectomy

Du, Jianjun; Xue, Hongyuan; Zhao, Lizhi; Zhang, Ziqiang; Hu, Jian

doi:10.1002/jso.26484

Cited by 3 publications

(7 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, 9 articles were retained for analysis ( Fig. 1 ) [ 12 , 13 , 16 , 18 , [21] , [22] , [23] , [24] , [25] ]. All of the articles provided schemes or illustrations for the reinforcement techniques.…”

Section: Resultsmentioning

confidence: 99%

“…All of these 9 included articles came from East Asia and were published between 2016 and 2021. The majority of the articles adopted a retrospective study design [ 12 , 13 , 16 , 18 , 22 , 24 , 25 ]. With the exception of two [ 21 , 24 ], all studies were performed in a single institution.…”

Section: Resultsmentioning

confidence: 99%

“…DSF, or duodenal stump leakage, is a relatively uncommon but highly serious complication after gastrectomy using Roux-en-Y or Billroth-II digestive reconstruction. The incidence of DSF was reported to be between 1 and 5% [ 11 , 12 ], while it has a morbidity rate of 75% and a mortality rate of up to 40% [ 13 , 14 ]. A number of causes of DSF have been proposed, including inadequate closure and postoperative distension of the duodenum [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reinforcement methods of duodenal stump after laparoscopic gastrectomy for gastric cancer: A review

Liu

Kong

Ying

et al. 2023

Heliyon

View full text Add to dashboard Cite

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reinforcement methods of duodenal stump after laparoscopic gastrectomy for gastric cancer: A review

Liu

Kong

Ying

et al. 2023

Heliyon

View full text Add to dashboard Cite

“…Reinforcement of the duodenal stump serves as a protective factor against duodenal stump leakage. Numerous studies have explored various reinforcement techniques, such as the Bioabsorbable Polyglycolic Acid (BPA)sheet + fibrin sealant proposed by Paik et al [ 23 ], BPA sheet by Misawa et al [ 27 ], Lembert Suture by Inoue et al [ 14 ], Barbed suture by Kim MC et al [ 15 ], Single Purse-String Suture by He et al [ 28 ], Handover method by Du et al [ 29 ], and Buried suture by Ri et al [ 30 ]. These methods have demonstrated preventive effects against DSL.…”

Section: Discussionmentioning

confidence: 99%

“…Duodenal stump reinforcement involves intricate maneuvers in a confined space, and existing research indicates varying impacts on overall operative duration [ 12 , 28 , 29 ]. This suggests differences among centers in the operational details of duodenal stump reinforcement, with the significantly extended operative duration highlighting the complexity of this procedure.…”

Section: Discussionmentioning

confidence: 99%

Modified Q-type purse-string suture duodenal stump embedding method for laparoscopic gastrectomy for gastric cancer

Sun,

Wang,

Zhou

et al. 2024

BMC Surg

View full text Add to dashboard Cite

Objective This study introduced the modified Q-type purse-string suture duodenal stump embedding method, a convenient way to strengthen the duodenum, and compared it to the conventional one to assess its efficacy and safety. Methods This retrospective analysis examined 612 patients who received laparoscopic gastrectomy for gastric Cancer at a single center. The patients were divided into Not Reinforced Group (n = 205) and Reinforced Group (n = 407) according to the surgical approach to the duodenal stump. The reinforced group was further divided into a modified Q-type purse-string suture embedding method group (QM, n = 232) and a conventional suture duodenal stump embedding method group (CM, n = 175) according to the methods of duodenal stump enhancement. Clinicopathological characteristics, operative variables, and short-term complications were documented and analyzed. Results The incidence of duodenal stump leakage(DSL) in the Not Reinforced Group was higher compared to the Reinforced Group, although the difference was not statistically significant [2.4% (5/205) vs 0.7% (3/407), p = 0.339]. Additionally, the Not Reinforced Group exhibited a higher rate of Reoperation due to DSL compared to the Reinforced Group [2 (1.0%) vs. 0, p = 0.046], with one patient in the Not Reinforced Group experiencing mortality due to DSL [1 (0.5%) vs 0, p = 0.158]. Subgroup analysis within the Reinforced Group revealed that the modified Q-type purse-string suture embedding group (QM) subgroup demonstrated statistically significant advantages over the conventional suture embedding group (CM) subgroup. QM exhibited shorter purse-string closure times (4.11 ± 1.840 vs. 6.05 ± 1.577, p = 0.001), higher purse-string closure success rates (93.1% vs. 77.7%, p = 0.001), and greater satisfaction with purse-string closure [224 (96.6%) vs 157 (89.7%), p = 0.005]. No occurrences of duodenal stump leakage were observed in the QM subgroup, while the CM subgroup experienced two cases [2 (1.1%)], though the difference was not statistically significant. Both groups did not exhibit statistically significant differences in secondary surgery or mortality related to duodenal stump leakage. Conclusion Duodenal Stump Leakage (DSL) is a severe but low-incidence complication. There is no statistically significant relationship between the reinforcement of the duodenal stump and the incidence of DSL. However, laparoscopic reinforcement of the duodenal stump can reduce the severity of fistulas and the probability of Reoperation. The laparoscopic Q-type purse-string suture duodenal stump embedding method is a simple and effective technique that can, to some extent, shorten the operation time and enhance satisfaction with purse-string closure. There is a trend towards reducing the incidence of DSL, thereby improving patient prognosis to a certain extent.

show abstract

Importance of duodenal stump reinforcement to prevent stump leakage after gastrectomy: a large-scale multicenter retrospective study (KSCC DELICATE study)

Sano,

Imai,

Yamaguchi

et al. 2024

Gastric Cancer

View full text Add to dashboard Cite

Handover method: Simple, classic and harmonized intracorporeal closure of stapled duodenal stump during laparoscopic gastrectomy

Cited by 3 publications

References 22 publications

Reinforcement methods of duodenal stump after laparoscopic gastrectomy for gastric cancer: A review

Reinforcement methods of duodenal stump after laparoscopic gastrectomy for gastric cancer: A review

Modified Q-type purse-string suture duodenal stump embedding method for laparoscopic gastrectomy for gastric cancer

Importance of duodenal stump reinforcement to prevent stump leakage after gastrectomy: a large-scale multicenter retrospective study (KSCC DELICATE study)

Contact Info

Product

Resources

About