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Abstract
Objectives: To study some technical characteristics of Finsterer-type gastrointestinal circulation restoration, using linear staplers to perform anastomosis in totally laparoscopic distal gastrectomy.
Methods: There were 108 cases of totally laparoscopic distal gastrectomy, Finstererstyle restoration of gastrointestinal circulation at the Department of Gastrointestinal Surgery, 108 Central Hospital. Period from January 2019 to November 2020. Clinical intervention descriptive study. Surgical technique: We perform surgery in 5 steps. Restoration of gastrointestinal circulation according to Finstere style, anastomosis of the jejunum with the great curvature of the stomach, side to side anastomosis. Using linear staplers, perform the anastomosis first, and then close the anastomosis simultaneously with gastrectomy
Results: The average surgical time was 167.64 ± 42.99 minutes (80 - 315 minutes); the average time of cutting and closing the duodenal was 8.71 ± 4.16 minutes (3 - 22
minutes); average anastomosis time is 16.68 ± 5.13 minutes (9 - 34 minutes); the average number of removed lymph nodes is 27.15 ± 10.39 nodes (7 - 61); time to first flatus was 3.38 ± 1.25 days (1 - 8 days); mean hospital stay was 8.68 ± 4.12 days (5 - 44 days). The rate of early complications after surgery was 5.6%.
Conclusion: Finsterer’s technique of restoring gastrointestinal circulation, using a linear staplers to perform anastomosis in totally laparoscopic distal gastrectomy is safe and feasible. This technique may be an option for totally laparoscopic distal gastrectomy.
References
Global Cancer Observatory. Cancer fact sheets, All cancers. 2020:1.
Global Cancer Observatory. Population fact sheets, Viet Nam Stomach cancers. 2020:1.
Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2018 (5th edition). Gastric Cancer. 2021;24(1):1-21.
Lee J, Kim D, Kim W. Comparison of laparoscopy - assisted and totally laparoscopic Billroth - II distal gastrectomy for gastric cancer. Journal of the Korean Surgical Society. 2012;82(3):135-142.
Chen K, Xu X, Mou Y. et al. Totally laparoscopic distal gastrectomy with D2 lymphadenectomy and Billroth II gastrojejunostomy for gastric cancer: Short - and medium - term results of 139 consecutive cases from a single institution. Int J Med Sci. 2012;10(11):1462-1470.
Zhang X, Zhang W, Yuan M. et al. Application of double layered end - to - end anastomosis with continuous manual suture for completing digestive tract reconstruction in totally laparoscopic distal gastrectomy. BMC Surgery. 2021;3(2):21-28.
Kim JH, Jun KH, Chin HM. Short - term surgical outcomes of laparoscopy - assisted versus totally laparoscopic Billroth - II gastrectomy for gastric cancer: a matched - cohort study. BMC Surgery. 2017;17(1):40-45.
Ngô Quang Duy, Lê Huy Lưu, Nguyễn Tuấn Anh. Kết quả cắt dạ dày nội soi với phục hồi lưu thông hoàn toàn trong ổ bụng. Y Học TP. Hồ Chí Minh. 2018:22(6):121-126.
Chi F, Lan Y, Bi T et al. Billroth - II with Braun versus Roux - en - Y reconstruction in totally laparoscopic distal gastrectomy for gastric cancer. Wideochir Inne Tech Maloinwazyjne. 2021;16(4):664-668.
Nguyễn Hoàng, Đỗ Đức Minh. Kết quả phẫu thuật nội soi hoàn toàn cắt dạ dày bán phần cực dưới, nạo vét hạch D2, nối dạ dày - hỗng tràng trên quai Y điều trị ung thư biểu mô dạ dày tại Bệnh viện đại học y Hà Nội. 2022;517(1):216-220
| Published | 28-12-2024 | |
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| Issue | No. 88 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.88.9 | |
| Keywords | Phẫu thuật cắt phần xa dạ dày nội soi hoàn toàn, ung thư dạ dày : Totally laparoscopy distal gastrectomy, gastric cancer |
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