Is jejunoduodenostomy better than jejunogastrostomy in laparoscopic gastrectomy with jejunal interposition ?

Zengin, Akile

doi:10.14744/less.2020.68095

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…The operations were performed by the senior surgeon or training surgeons under the supervision of the senior surgeon. The details of the surgical procedures have been reported in previous studies (8)(9)(10)(11).…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic gastric cancer surgery for 65 age and elderly patients: A single center experience

ZENGİN¹,

Bağ²,

Aydın³

et al. 2022

J. Exp. Clin. Med.

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Therapeutic modalities for elderly gastric cancer (GC) patients have enlarged with extended life expectancy. The aim of this study was to investigate the outcomes of surgical therapies for GC patients of age 65 and older with a single center experience. Eighty-eight patients who underwent laparoscopic surgery for GC were included in the study. The relationships between surgical methods and clinicopathological or prognostic features were analyzed. The median age of the patients was 72 (65-91) years. Sixty patients (75%) were male. The median BMI was 25 kg/m2 (17.5-42). The most common ASA score was 2 (n=58, 72.5%) and tumors were mostly localized in the distal 1/3 of the stomach (n=39, 48.7%). The median CEA and CA19-9 levels were 1.94 ng/ml(0.07-93.8)and 10IU/ml (0.05-449.3), respectively. Eleven patients (13.8%) hadprevious abdominal surgery history. The most common operation type was subtotal gastrectomy (n=33, 41.3%). The median operation time was 300 min (45-720) and the median intraoperative blood loss was 100 ml (0-800). There were eleven conversion (13.8%). The median first time to oral intake was 2 days (1-10) and length of hospital stay was 7 days (1-48). Postoperative serious complications occurred in fourteen (17.5%) patients. The mean of retrieved lymph node was 30.27 ± 17.08. The most common pathological T stage was T4 (53.75%). The mediantime to chemotherapy was 41 days (6-220). Laparoscopic gastric surgery is a safe and feasible method that can be performed in elderly patients with appropriate oncological principles. The risk of surgery is substantially higher in elderly patients. Therefore, maximal attention should be paid to perioperative care for the prevention and treatment of perioperative complications.

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Section: Methodsmentioning

confidence: 99%

Laparoscopic gastric cancer surgery for 65 age and elderly patients: A single center experience

ZENGİN¹,

Bağ²,

Aydın³

et al. 2022

J. Exp. Clin. Med.

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“…Conventionally, various techniques and interventions have been adopted to prevent or treat laparoscopic portsite complications [14,[29][30][31][32][33][34][35][36][37]. Post-operative bleeding may require surgical reintervention using direct or laparoscopic surgery (cauterizing/applying a clip/suturing through the skin incision or laparoscopically under direct vision) in only approximately 10% of cases.…”

Section: Laparoscopic Port-site Complicationsmentioning

confidence: 99%

Safety and Efficacy of Trocar Port-Site Closure Using a Biological Plug Closure in Laparoscopic Bariatric Surgery: a Prospective Study

Andraos

2022

OBES SURG

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Purpose Port-site trocar closure is a challenging procedure in laparoscopic surgeries, especially in morbidly obese patients, and complications (herniation, bleeding, pain, and nerve trapping) have potentially severe consequences. This paper provides an overview of existing techniques of suturing and closure in intra-abdominal laparoscopic surgery, outlines the complications associated with port-site closure, and presents a novel technique designed to address those problems by using a sterile absorbable gelatin sponge with strong hemostatic properties (Cutanplast® Plug). Materials and Methods In this prospective study, 83 successive obese patients undergoing laparoscopic bariatric surgery (sleeve gastrectomy, sleeve plication, gastric bypass), using a standardized skin incision for trocar insertion, had port-site closure using the Cutanplast plug procedure (n = 42) or conventional suturing techniques (n = 41). Results The incidence of early complications was lower in the Cutanplast group; no patients had infections compared with 9.8% of Controls (p = 0.055) and no bleeding, ecchymosis, erythema, or redness occurred. Late complications during 2 years of follow-up were significantly lower in the Cutanplast group (0 vs. 7 hernias, p = 0.005). Most patients in the Cutanplast group required only 1–2 procedures (78.6% vs. 58.5%, p = 0.049), whereas 41.5% of controls required 3 procedures. In total, 82 trocars were used in the Cutanplast group versus 99 in controls. The single-step Cutanplast plug technique reduced operating times compared with two-step suturing techniques. Conclusion Closure of port-site trocar incisions using Cutanplast plug is fast, efficient, with potential to reduce operating times and decrease bleeding and herniation from port-site trocars insertion, particularly in obese patients. Graphical Abstract

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Is jejunoduodenostomy better than jejunogastrostomy in laparoscopic gastrectomy with jejunal interposition ?

Cited by 2 publications

References 10 publications

Laparoscopic gastric cancer surgery for 65 age and elderly patients: A single center experience

Laparoscopic gastric cancer surgery for 65 age and elderly patients: A single center experience

Safety and Efficacy of Trocar Port-Site Closure Using a Biological Plug Closure in Laparoscopic Bariatric Surgery: a Prospective Study

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