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KMID : 0371420170920010030
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Annals of Surgical Treatment and Research
2017 Volume.92 No. 1 p.30 ~ p.34
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Intracorporeal esophagojejunostomy using hemi-double-stapling technique after laparoscopic total gastrectomy in gastric cancer patients
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Ali Bandar
Park Cho-Hyun
Song Kyo-Young
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Abstract
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Purpose: To present the feasibility and safety of Roux-en-Y esophagojejunostomy using hemi-double-stapling technique after laparoscopic total gastrectomy.
Methods: We reviewed the outcomes from 58 consecutive patients with gastric cancer who underwent laparoscopic total gastrectomy. The clinicopathological characteristics including postoperative complications were examined.
Results: The mean age and body mass index were 57.3 ± 9.7 years and 23.7 ± 2.6 kg/m2, respectively. The mean overall total operation was 199.8 ± 57.0 minutes. Intraoperative blood loss was 81.6 ± 56.3 mL and there was no open conversion. The patients' hospital stay was a mean 9.6 ± 2 days. The mean proximal margin of the specimens was 2.7 ± 1.8 cm. There were 3 cases (5.1%) of anastomosis leakage, but all were controlled successfully by endoscopic stent.
Conclusion: The circular HDST technique is simple and reliable without any significant demerits with respect to safety concerns or difficulty of operation.
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KEYWORD
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Intracorporeal esophagojejunostomy, Hemi-double-stapling technique, Laparoscopic total gastrectomy, Gastric cancer, Feasibility
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