Intracorporeal circular-stapled Billroth I anastomosis in single-incision laparoscopic distal gastrectomy

Omori, Takeshi; Tanaka, Kouji; Tori, Masayuki; Ueshima, Shigeyuki; Akamatsu, Hiroki; Nishida, Toshirou

doi:10.1007/s00464-011-2034-1

Cited by 36 publications

(23 citation statements)

References 15 publications

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“…In addition, it is more difficult to expect such advanced-assistance dependent procedure in SIDG, and one more small assistance grasper is likely to result in more collision because it makes narrow port space more crowded. Therefore, there have been limited number of original experience or modification of Billroth I anastomosis after SIDG, and reproducibility of gastroduodenostomy in pure SIDG still seems to be doubtful (20,23,24). We reported our novel technique for gastroduodenostomy, "unaided delta-shaped anastomosis", without any additional port or intracorporeal assistance for pure SIDG, and also hope this technique will contribute to reproducible establishment of gastroduodenostomy in SIDG after validation (17).…”

Section: Reconstructionmentioning

confidence: 99%

Single incision gastrectomy for gastric cancer

Suh

Lee

Yang

2016

Transl. Gastroenterol. Hepatol.

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Based on rapid development of laparoscopic techniques and instruments, single-incision laparoscopic surgery (SILS) is expected to be the next step of "more" minimally invasive surgery. A few institutions gradually started to report their experience of single incision gastrectomy (SIG) for gastric cancer, but it is still difficult to accept that SIG can be performed as a popular procedure because of its technical difficulty. For wide adoption of SIG, the simplicity, safety and reproducibility of not only lymph node dissection but also reconstruction should be evaluated compared to a conventional procedure. With a thorough understanding of unique characteristics of SILS, single incision distal gastrectomy (SIDG) for early gastric cancer performed by laparoscopic surgeons with advanced technique is expected to have promising potential about excellent cosmesis, comparable morbidity and mortality in carefully selected patients. For appropriate adoption and steady progress of this state-of-the art surgery, scientific evaluation with healthy critics is necessary with new generation of SILS instrument platform.

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Section: Reconstructionmentioning

confidence: 99%

Single incision gastrectomy for gastric cancer

Suh

Lee

Yang

2016

Transl. Gastroenterol. Hepatol.

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“…SILS is rarely applied for gastric cancer surgery. To the best of our knowledge, there have been only three reports describing this procedure for patients with EGC [5][6][7]. Furthermore, all these reports involve SIDG with one or two additional assistant ports.…”

Section: Discussionmentioning

confidence: 99%

“…Although NOTES is still being studied because of the limitations of current instruments, SILS has been frequently applied in various clinical settings, such as cholecystectomy, appendectomy, colectomy, and sleeve gastrectomy for obesity [3,4]. However, there have been only three reports about single-incision laparoscopic distal gastrectomy (SIDG) for gastric cancers [5][6][7]. Herein, we report a technical note of the first successful single-incision laparoscopic total gastrectomy (SITG) with D1?beta lymph node dissection (LND) for a patient with early proximal gastric cancer.…”

Section: Introductionmentioning

confidence: 99%

Single-incision laparoscopic total gastrectomy with D1+beta lymph node dissection for proximal early gastric cancer

et al. 2013

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“…So far, there have been a few reports on RPS for gastrectomy for gastric cancer (1,2). However, it has remained unclear that RPS has the advantages compared with LAG, and this special technique has not been spread even more.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive surgery for stomach cancer

Nunobe

Kumagai

Ida

et al. 2016

Jpn. J. Clin. Oncol.

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Laparoscopic surgery for gastric cancer has become extremely widespread in recent years especially in Asian countries due to its low invasiveness. As to evidence of indication for laparoscopic surgery for gastric cancer, laparoscopic surgery for gastric cancer often appears to be indicated for early gastric cancer at many institutions, while evidence was considered to be insufficient to recommend laparoscopic surgery for gastric cancer at Stage II and above. There are also problems with indications for cases other than tumour factors. No meta-analyses and prospective studies have been reported, but outcomes of laparoscopic surgery for gastric cancer in gastric cancer patients with co-morbid and/or existing diseases have been reported in retrospective studies. Indications in the elderly appear to be favourable in terms of post-operative ambulation considering factors such as the degree of dissection in accordance with the status of the patient. Meta-analyses, randomized controlled trials and several retrospective studies have compared the short-term usefulness of laparoscopic surgery for gastric cancer with that of conventional gastrectomy. The superiority of laparoscopic surgery for gastric cancer has been reported in terms of the reduced amount of bleeding, a reduction in the administration frequency and period of analgesic doses, a reduction in the duration of fever, early recovery of intestinal movement and early return to oral intake. A small-scale randomized controlled trial and several retrospective studies have demonstrated no significant differences in survival rate, recurrence rate and type of recurrence between laparoscopic surgery for gastric cancer and conventional gastrectomy. The results of the aforementioned trials in early gastric cancer in Japan and Korea for which enrolment is complete remain to be published.

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Intracorporeal circular-stapled Billroth I anastomosis in single-incision laparoscopic distal gastrectomy

Abstract: Our modified technique for intracorporeal Billroth I reconstruction in single-incision laparoscopic distal gastrectomy is safe and feasible. This technique could be an attractive surgical option for all laparoscopic reconstructive procedures using circular stapling devices.

Cited by 36 publications

References 15 publications

Single incision gastrectomy for gastric cancer

Single incision gastrectomy for gastric cancer

Single-incision laparoscopic total gastrectomy with D1+beta lymph node dissection for proximal early gastric cancer

Minimally invasive surgery for stomach cancer

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