Totally intracorporeal delta-shaped B-I anastomosis following laparoscopic distal gastrectomy using the Tri-Staple™ reloads on the manual Ultra handle: a prospective cohort study with historical controls

Man-i, Mariko; Suda, Koichi; Kikuchi, Kenji; Tanaka, Tsuyoshi; Furuta, Shinpei; Nakauchi, Masaya; Ishikawa, Ken; Ishida, Yoshiteru; Uyama, Ichiro

doi:10.1007/s00464-015-4085-1

Cited by 17 publications

(13 citation statements)

References 21 publications

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“…Short‐term outcomes of robotic delta‐shaped anastomosis demonstrated in the present study are acceptable relative to those of conventional laparoscopic delta‐shaped anastomosis, which have been reported in our previous studies . In the present study, in addition to the outstanding result in the robotic group (i.e.…”

Section: Discussionsupporting

confidence: 79%

“…Since 2007, we have used this method in conventional laparoscopic distal gastrectomy as a primary option for alimentary tract reconstruction. To date, our accumulated experience with this technique consists of over 150 cases with acceptable treatment outcomes (anastomotic leakage, 2.0%; anastomotic stenosis, 0%; anastomotic bleeding, 1.3%; and remnant gastric stasis, 0.7%) .…”

Section: Introductionmentioning

confidence: 99%

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Delta‐shaped anastomosis in totally robotic Billroth I gastrectomy: technical aspects and short‐term outcomes

Kikuchi

Suda

Nakauchi

et al. 2016

Asian J Endoscop Surgery

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Delta‐shaped anastomosis in totally robotic Billroth I gastrectomy: technical aspects and short‐term outcomes

Kikuchi

Suda

Nakauchi

et al. 2016

Asian J Endoscop Surgery

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“…The present study showed no signi cant differences between the two groups in terms of anastomosis-related complications. Intracorporeal esophagojejunostomy (IEJ) styles during the procedure of TLTG are various [35][36][37][38]. In this study, IEJ styles were liner staple and Orvil™.…”

Section: Discussionmentioning

confidence: 99%

Short-term Outcomes of Totally Laparoscopic Versus Laparoscopy-assisted Total Gastrectomy for Gastric Cancer: a Systematic Review and Meta-analysis

Xie

Chen

et al. 2021

Preprint

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Background Totally laparoscopic total gastrectomy (TLTG) has not been generalized because of its technical difficulty during the procedure of digestive tract reconstruction and lack of short-term results. This meta-analysis aimed to evaluate the feasibility and safety of TLTG for gastric cancer.Methods A systematic literature search in various databases from January 1994 to November 2020 was performed. Eligible studies in comparing TLTG and laparoscopy-assisted total gastrectomy (LATG) for gastric cancer were included in this meta-analysis. The results were analyzed according to predefined criteria.Results In the present meta-analysis, the outcomes of 8 non-randomized controlled studies enrolling 1503 patients (819 in the TLTG group and 684 in the LATG group) were pooled. The operation time was significantly shorter in the TLTG group than those in the LATG group (P < 0.01). Estimated blood loss was significantly less in TLTG than that in LATG (P = 0.01). The TLTG group was associated with earlier time to first flatus (P < 0.01) and oral intake (P =0.02). The pooled analysis showed no significant difference in postoperative hospital stay, postoperative complications, number of retrieved lymph nodes, and the proximal margin between TLTG and LATG groups (all P ˃ 0.05).Conclusions TLTG can be a safe and feasible procedure concerning short-term surgical outcomes and complications.

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“…Patients operated for intestinal anastomosis by Endo GIA tri-staple method required relatively less time than those operated by Endo GIA universal loading unit stapler (p=0.535) that was not statistically significant. In Suda et al study operation time was shorter in tri-staple group as compared to blue/green universal stapler (p=0.025) which was found to be statistically significant 5.…”

mentioning

confidence: 82%

“…In present study the Endo GIA reload with tri-staple (purple) technique has articulating joint in device so it can be easy to use, it has three stapled line in comparison to standard stapling devices. 4,5…”

mentioning

confidence: 99%

A prospective study of 50 cases of laparoscopic intestinal anastomosis by Endo GIA universal loading stapler (green/blue) versus Endo GIA articulating reload with tri staple technology (purple)

et al. 2020

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Background: Intestinal anastomosis is a commonly performed procedure in surgery. Various evolvements have occurred in the field of intestinal anastomosis and recent advancement is the use of stapler in laparoscopic surgeries as a device for Gastrointestinal (GI) anastomosis. Few previous studies evaluating the clinical safety of the 2 laparoscopic linear stapling devices are available.Methods: A prospective comparative study of 50 cases which met the inclusion and exclusion criteria were included in this hospital-based study. They were randomly allocated to two groups, Group A which underwent laparoscopic intestinal anastomosis by Endo GIA tri-staple (purple) stapler and Group B which underwent Endo GIA universal loading unit (blue/green) stapler. Primary outcome was assessed in terms of intra-operative staple line bleeding, operative time and post-operative anastomotic leak.Results: Patients with laparoscopic intestinal anastomosis by Endo GIA tri-staple stapler (purple) have required less operation time as compared to Endo GIA universal loading unit. In Endo GIA universal loading unit (blue/green) 04% patients developed anastomotic leak and 40% patients had intra-operative staple line bleed while with Endo GIA tri-staple no postoperative anastomotic leak was found and 02% patients developed intra-operative staple line bleeding.Conclusions: The result of our study has shown that the Endo GIA reload tri- staple (purple) is superior in terms of having no anastomosis leak, negligent staple line bleeding and less operation time as compared with Endo GIA universal loading unit (blue/green). Thus, laparoscopic intestinal anastomosis by Endo GIA reload tri-staple stapler (purple) technology is more effective and overall more efficient.

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Totally intracorporeal delta-shaped B-I anastomosis following laparoscopic distal gastrectomy using the Tri-Staple™ reloads on the manual Ultra handle: a prospective cohort study with historical controls

Abstract: Totally laparoscopic Billroth I distal gastrectomy using Tri-Staple was feasible and safe with favorable short-term surgical outcomes. Reduced blurring while stapling may be a novel endpoint which newly developed stapling devices should target.

Cited by 17 publications

References 21 publications

Delta‐shaped anastomosis in totally robotic Billroth I gastrectomy: technical aspects and short‐term outcomes

Delta‐shaped anastomosis in totally robotic Billroth I gastrectomy: technical aspects and short‐term outcomes

Short-term Outcomes of Totally Laparoscopic Versus Laparoscopy-assisted Total Gastrectomy for Gastric Cancer: a Systematic Review and Meta-analysis

A prospective study of 50 cases of laparoscopic intestinal anastomosis by Endo GIA universal loading stapler (green/blue) versus Endo GIA articulating reload with tri staple technology (purple)

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