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Unaided Stapling Technique for Pure Single-Incision Distal Gastrectomy in Early Gastric Cancer: Unaided Delta-Shaped Anastomosis and Uncut Roux-en-Y Anastomosis

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Author(s)
Yun-Suhk SuhJi-Ho ParkTae Han KimYeon-Ju HuhYoung Gil SonJun-Young YangSeong-Ho KongHyuk-Joon LeeHan-Kwang Yang
Keimyung Author(s)
Son, Young Gil
Department
Dept. of Surgery (외과학)
Journal Title
Journal of Gastric Cancer
Issued Date
2015
Volume
15
Issue
2
Keyword
Billroth IGastrectomyLaparoscopyRoux-en-Y anastomosisStomach neoplasm
Abstract
Purpose: Intracorporeal anastomosis is the most difficult procedure during pure single-incision distal gastrectomy (SIDG) that affects its generalization. We introduced unaided delta-shaped anastomosis (uDelta), a novel anastomosis technique, for gastroduodenostomy after pure SIDG, and compared the results with those of previously reported Roux-en-Y anastomosis (RY).
Materials and Methods: Between March 2014 and March 2015, SIDG with D1+ lymph node dissection was performed for early gastric cancer through a 2.5-cm transumbilical incision without any additional port. uDelta was performed by the operator alone, without any intracorporeal assistance.
Results: uDelta was performed on 11 patents, and uncut RY was performed on 5-patients without open or multiport conversion. R0 resection was performed in all cases. No significant differences were observed in mean age and body mass index between patients who underwent uDelta or RY. Mean operation times were 214.5±36.2 minutes for uDelta and 240.8±65.9 minutes for RY, which was not significantly different. Reconstruction time for uDelta was shorter than that for RY, with marginal statistical significance (26.1±8.3 minutes vs. 38.0±9.1 minutes, P=0.05). There were no intraoperative transfusions, 30-day mortality, or anastomosis-related complications in either group. Average length of hospital stay was 8.2±1.9 days in the uDelta group and 7.2±0.8 days in the RY group (P=0.320).
Conclusions: After carefully considering indications, uDelta can be a feasible and can be a reproducible reconstruction method after SIDG in early gastric cancer.
Keimyung Author(s)(Kor)
손영길
Publisher
School of Medicine
Citation
Yun-Suhk Suh et al. (2015). Unaided Stapling Technique for Pure Single-Incision Distal Gastrectomy in Early Gastric Cancer: Unaided Delta-Shaped Anastomosis and Uncut Roux-en-Y Anastomosis. Journal of Gastric Cancer, 15(2), 105–112. doi: 10.5230/jgc.2015.15.2.105
Type
Article
ISSN
2093-582X
DOI
10.5230/jgc.2015.15.2.105
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33076
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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