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Comparison of OrVil™ and RPD in laparoscopic total gastrectomy for gastric cancer

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Abstract

Background

Laparoscopic total gastrectomy (LTG) is frequently performed for treating patients with gastric cancer; however, the absence of anastomotic techniques with greater superiority has impaired its popularization. We have compared two types of anastomotic techniques with regard to technical perspectives and clinical outcomes.

Methods

We reviewed 43 patients with gastric cancer who underwent LTG. Two types of anastomotic techniques have been applied after LTG—the trans-orally inserted anvil (OrVil™) and the reverse puncture device (RPD). Data on the type of anastomosis, blood loss, operation time, anastomosis time, location of tumors, distance between the top border of tumors and top resection margin, diameter of tumor, length of postoperative hospital stay, early and late postoperative complications, and total cost of surgical consumables were obtained by reviewing patient medical records and analyzed thereafter.

Results

We included 32 men and 11 women (mean age 61 years). The loss to follow-up rate was 13.2%. The median survival time for the OrVil™ and RPD groups was 23 and 22 months, respectively. The total rate of complications was 9.3%. The difference in the anastomosis times between the groups was statistically significant. OrVil™ required more time than RPD and cost more than RPD.

Conclusions

Both the OrVil™ and RPD techniques showed good safety and applicability in LTG. RPD showed an advantage with regard to lesser operative complexity and lower cost.

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Acknowledgements

This study was supported by Science and Technology Commission of Shanghai Municipality (No. 15411960300).

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Authors and Affiliations

  1. Department of General Surgery, Shanghai Fifth People’s Hospital, Fudan University, No. 801 Heqing Road, Shanghai, 200240, China

    Xi Li, Liang Hong, Gengming Niu, Liang Li, Xin Wang & Chongwei Ke

  2. Minimally Invasive Gastrointestinal Surgery, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China

    Dan Ding

  3. Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China

    Yaping Liu

  4. Department of Anesthesiology and Intensive Care, Changhai Hospital, Second Military Medical University, Shanghai, 200433, China

    Xiaomei Li

Authors
  1. Xi Li
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  2. Liang Hong
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  3. Dan Ding
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  4. Yaping Liu
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  5. Gengming Niu
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  6. Liang Li
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  7. Xin Wang
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  8. Xiaomei Li
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  9. Chongwei Ke
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Corresponding author

Correspondence to Chongwei Ke.

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Disclosures

Xi Li, Liang Hong, Dan Ding, Yaping Liu, Gengming Niu, Liang Li, Xin Wang, Xiaomei Li, and Chongwei Ke have no conflicts of interest or financial ties to disclose.

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Li, X., Hong, L., Ding, D. et al. Comparison of OrVil™ and RPD in laparoscopic total gastrectomy for gastric cancer. Surg Endosc 31, 4773–4779 (2017). https://doi.org/10.1007/s00464-017-5554-5

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  • DOI: https://doi.org/10.1007/s00464-017-5554-5

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