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タイトル: | Intracorporeal esophagojejunal anastomosis after laparoscopic total gastrectomy for patients with gastric cancer. |
著者: | Okabe, Hiroshi Obama, Kazutaka https://orcid.org/0000-0003-2924-6701 (unconfirmed) Tanaka, Eiji Nomura, Akinari Kawamura, Jun-ichiro Nagayama, Satoshi Itami, Atsushi Watanabe, Go Kanaya, Seiichiro Sakai, Yoshiharu |
著者名の別形: | 岡部, 寛 |
キーワード: | Esophagojejunostomy Gastric cancer Laparoscopic surgery Total gastectomy |
発行日: | Sep-2009 |
出版者: | Springer Verlag |
誌名: | Surgical endoscopy |
巻: | 23 |
号: | 9 |
開始ページ: | 2167 |
終了ページ: | 2171 |
抄録: | BACKGROUND: To facilitate acceptance of laparoscopic total gastrectomy (LTG) for patients with upper gastric cancer, a simple, secure technique of reconstruction is necessary. The authors developed a new technique for intracorporeal esophagojejunal anastomosis that does not require hand sewing. METHODS: From September 2006 to January 2008, 16 patients (11 men and 5 women) with gastric cancer underwent LTG at the authors' institution. Laparoscopic esophagojejunal anastomosis using the following method was attempted for all patients. The esophagus was transected while being rotated by about 45 degrees counterclockwise to make the subsequent anastomosis easier. After the Y-anastomosis was created, an endoscopic linear stapler was applied to create a side-to-side anastomosis between the left dorsal side of the esophagus and the jejunal limb. The entry hole was first closed roughly with hernia staplers. Subsequently, an endoscopic linear stapler was applied so that all hernia staplers could be removed and the closure completed. RESULTS: Laparoscopic esophagojejunal anastomosis was successfully performed for 15 patients. Intracorporeal anastomosis failed for one patient because a nasogastric tube was caught between the jaws of an endostapler, which resulted in a conversion to open procedure. No postoperative anastomotic complications occurred. CONCLUSIONS: Using the new technique, intracorporeal linear-stapled esophagojejunal anastomosis can be performed easily and securely. This technique could become one of the standard methods for reconstruction after LTG, facilitating the acceptance of LTG as a surgical option for patients with upper gastric cancer. |
著作権等: | c Springer Science+Business Media, LLC 2008 この論文は出版社版でありません。引用の際には出版社版をご確認ご利用ください。 This is not the published version. Please cite only the published version. |
URI: | http://hdl.handle.net/2433/93003 |
DOI(出版社版): | 10.1007/s00464-008-9987-8 |
PubMed ID: | 18553203 |
出現コレクション: | 学術雑誌掲載論文等 |
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