Feasibility of Delta-Shaped Anastomoses in Totally Laparoscopic Distal Gastrectomy
Feasibility of Delta-Shaped Anastomoses in Totally Laparoscopic Distal Gastrectomy
复制标题
三角吻合在全腹腔镜远端胃切除术中的可行性
作者：
Oki E.;et al
D形吻合术是一种使用线性吻合器重建全腹腔镜远端胃切除术(TLDG)的新方法。方法对114例DS吻合TLDG患者的临床资料进行回顾性分析。24例同期行Roux-en-Y(RY)吻合的患者作为对照。结果DS和RY吻合的患者在肿瘤部位和淋巴结清扫范围方面略有不同，这不是一项前瞻性的对比研究。两组患者的出血量、术后并发症发生率及术后住院时间无明显差异。DS吻合术后仅1例发生吻合口漏，无吻合口狭窄。DS吻合术的手术时间明显短于RY吻合术。结论虽然这是一个小的回顾分析，但DS吻合术是可行的，手术时间较短，且无相关并发症。因此，该方法可被推荐为TLDG的标准程序。
BackgroundDelta-shaped (DS) anastomosis is a new reconstruction method for totally laparoscopic distal gastrectomy (TLDG) using a linear stapler. We evaluated the feasibility of using this method for TLDG.MethodsA retrospective analysis was performed in 114 patients who underwent TLDG with DS anastomosis. Twenty-four patients reconstructed with a Roux-en-Y (RY) anastomosis during the same period were analyzed as control subjects.ResultsThe patient characteristics of DS and RY anastomoses were slightly different in terms of tumor location and extent of lymph node dissection, since this was not a prospective comparative study. Blood loss, postoperative complication rate and postoperative hospital stay were not different between the two groups. There was only 1 case of anastomotic leakage, and no case of anastomotic stricture after DS anastomosis. The length of the operation using DS anastomosis was significantly shorter than for RY anastomosis. The rates of body weight loss were not significantly different at 1 year after the operation.ConclusionsAlthough this was a small retrospective analysis, DS anastomosis was feasible, required a shorter operation time, and had no associated complications. This method can therefore be recommended as a standard procedure for TLDG.