Outcome of functional end-to-end esophagojejunostomy in totally laparoscopic total gastrectomy.
Outcome of functional end-to-end esophagojejunostomy in totally laparoscopic total gastrectomy.
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DOI：
10.1007/s00423-013-1051-z
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发表时间：
2013-03
影响因子：
2.3
通讯作者：
Katoh, Hiroyuki
中科院分区：
文献类型：
--
作者：
Ebihara, Yuma;Okushiba, Shunichi;Kawarada, Yo;Kitashiro, Shuji;Katoh, Hiroyuki
关键词：
完全腹腔镜全胃切除术（TLTG）不受欢迎，因为重建是困难的。事实上，食管空肠吻合术是TLTG中最困难的手术技术。我们采用功能性端端吻合法进行食管空肠吻合，以简化手术。本研究评估TLTG与功能性端端食管空肠吻合术的可行性和手术结果。我们评估了2006年1月至2011年8月在Tonan医院接受TLTG和功能性端端食管空肠吻合术的65例连续患者的术中和术后结局。平均手术时间为271.5 ± 64.7 min，平均失血量为85.2 ± 143.2 g。1例患者（1.5%）转为开放手术，2例患者（3.1%）因肠梗阻（由于内疝和空肠空肠吻合口漏）需要再次手术。没有再手术与功能性端端食管空肠吻合术相关。平均住院时间为21.4 ± 13.5天。10例患者（15.4%）发生术后并发症，其中3例（4.6%）为与功能性端端食管空肠吻合相关的吻合口狭窄。所有这些均通过内镜扩张解决。功能性食管空肠端端吻合术是安全可行的。
Totally laparoscopic total gastrectomy (TLTG) is unpopular because reconstruction is difficult. In fact, esophagojejunostomy is the most difficult surgical technique in TLTG. We adopted functional end-to-end anastomosis for esophagojejunostomy to simplify the procedure. The present study assesses the feasibility and surgical outcomes of TLTG with functional end-to-end esophagojejunostomy. We assessed the intraoperative and postoperative outcomes of 65 consecutive patients who underwent TLTG with functional end-to-end esophagojejunostomy at Tonan Hospital between January 2006 and August 2011. The mean surgical duration was 271.5 ± 64.7 min, and the mean blood loss was 85.2 ± 143.2 g. One patient (1.5 %) was converted to open surgery, and two patients (3.1 %) required reoperation due to ileus because of an internal hernia and jejunojejunostomy leakage. No reoperation was associated with functional end-to-end esophagojejunostomy. The mean hospital stay was 21.4 ± 13.5 days. Ten patients (15.4 %) developed postoperative complications, of which three (4.6 %) were anastomotic stenosis associated with functional end-to-end esophagojejunostomy. All of these were resolved by endoscopic dilation. Functional end-to-end esophagojejunostomy in TLTG is safe and feasible.
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DOI：
10.1007/s00464-009-0461-z
发表时间：
2009-11-01
影响因子：
3.1
作者：
Jeong, Oh;Park, Young Kyu
通讯作者：
Park, Young Kyu
DOI：
10.1007/s00464-007-9446-y
发表时间：
2008-02-01
影响因子：
3.1
作者：
Kim, Jin-Jo;Song, Kyo Young;Park, Seung Man
通讯作者：
Park, Seung Man
DOI：
10.1097/sle.0b013e3181568e63
发表时间：
2008-02-01
影响因子：
1
作者：
Tanimura, Shinya;Higashino, Masayuki;Sugi, Harushi
通讯作者：
Sugi, Harushi
DOI：
10.1089/lap.2010.0343
发表时间：
2011-01-01
影响因子：
1.3
作者：
Choi, Yoon Young;Kim, Yong Jin
通讯作者：
Kim, Yong Jin
影响因子：
4.6
作者：
DORSEY, JS;ESSES, S;STONE, R
通讯作者：
STONE, R