Journal
ANNALS OF SURGICAL TREATMENT AND RESEARCH
Volume 105, Issue 3, Pages 172-177Publisher
KOREAN SURGICAL SOCIETY
DOI: 10.4174/astr.2023.105.3.172
Keywords
Minimally invasive surgical procedures; Gastroenterostomy
Categories
Ask authors/readers for more resources
In this study, the intracorporeal modified delta-shaped gastroduodenostomy technique was safely performed via a 2-port approach, resulting in acceptable surgical outcomes and no major complications.
Purpose: Surgeons have become increasingly interested in reduced-port gastrectomy to minimize trauma while maintaining oncologic safety. Although gastroduodenostomy has the benefits of better nutritional outcomes and fewer postoperative complications than other types of reconstruction, gastroduodenostomy is not a preferred option for reduced port distal gastrectomy because of technical difficulties. In this study, we describe our intracorporeal modified delta shaped gastroduodenostomy technique, which is easily applicable during 2-port distal gastrectomy.Methods: We retrospectively reviewed our database of 30 consecutive patients with gastric cancer who underwent 2-port distal gastrectomy with intracorporeal modified delta-shaped gastroduodenostomy from October 2016 to May 2021. In this reduced-port approach, we used a Tropian Single port (TROPIAN TECH) via a 25-mm transumbilical incision and a 12-mm port at the right flank. All anastomoses were performed using a 60-mm endolinear stapler. We used 3 additional sutures to provide proper traction and support for the anastomosis.Results: Mean +/- standard deviation of operation time was 148.9 +/- 34.7 minutes; reconstruction time was 13.2 +/- 4.6 minutes; estimated blood loss was 29.3 +/- 44.4 mL; and length of hospital stay was 4.5 +/- 1.2 postoperative days. A total of 11 patients (36.7%) had a Clavien-Dindo grade I or grade II complication, and there were no grade IIIa or higher complications.Conclusion: Intracorporeal modified delta-shaped gastroduodenostomy was safely performed via a 2-port approach, resulting in acceptable surgical outcomes and no major complications.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available