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Clinical Experience of Intracorporeal Hand-sewn Anastomosis Following Totally Laparoscopic Pylorus-Preserving Gastrectomy for Middle-Third Early Gastric Cancer

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Journal of Gastrointestinal Surgery Aims and scope

Abstract

Introduction

Pylorus-preserving gastrectomy (PPG) has been accepted as a representative function-preserving procedure for early gastric cancer (EGC) in the middle stomach. Totally, intracorporeal laparoscopic gastrectomy can provide better aesthetics, be less invasive, and allow faster postoperative recovery. Here, we first describe the surgical procedure of totally laparoscopic pylorus-preserving gastrectomy with intracorporeal hand-sewn anastomosis (TLPPG-IHSA).

Methods

After standard procedure of lymph node dissection and middle stomach resection, we used two double-needle barbed sutures to perform a layer-to-layer manual anastomosis of the anterior and posterior walls in the abdominal cavity. Twelve patients with preoperatively diagnosed clinical EGC located in the middle third of the stomach underwent TLPPG-IHSA between August 2019 and January 2021.

Results

A total of 12 patients with EGC successfully underwent TLPPG-IHSA. Only one patient (8.3%) suffered postoperative gastric stasis. No complications or recurrence occurred in other patients during half a year after surgery.

Conclusion

TLPPG-IHSA is considered technically feasible to treat EGC located in the middle third of the stomach.

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Funding

This work was supported by the Science and Technology Projects of Zhejiang Province (LGF19H030007) and the Traditional Chinese Medicine Science and Technology Project of Zhejiang Province (2018ZA109).

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Authors and Affiliations

  1. Medical School of Ningbo University, Ningbo University, Zhejiang Province, Ningbo, 315211, China

    Jiabin Yang M.M., Liushiyang Xu M.M. & Xifeng Lao M.M.

  2. Department of Gastrointestinal Surgery, Ningbo First Hospital, Zhejiang Province, Ningbo, 315000, China

    Jianming Xie M.M., Yongfang Yin M.M. & Zhilong Yan Ph.D.

Authors
  1. Jiabin Yang M.M.
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  2. Jianming Xie M.M.
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  3. Liushiyang Xu M.M.
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  4. Yongfang Yin M.M.
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  5. Xifeng Lao M.M.
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  6. Zhilong Yan Ph.D.
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Contributions

Study concept and design: Yang and Yan; acquisition of data: Yang, Xie, Xu, and Yin; analysis and interpretation of data: Yang, Xie, Lao, and Yan; drafting of the manuscript: Yang and Yan; critical revision of the manuscript for important intellectual content: Yan; administrative, technical, and material support: Yan; study supervision: Yan.

Corresponding author

Correspondence to Zhilong Yan Ph.D..

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The authors declare no competing interests.

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Yang, J., Xie, J., Xu, L. et al. Clinical Experience of Intracorporeal Hand-sewn Anastomosis Following Totally Laparoscopic Pylorus-Preserving Gastrectomy for Middle-Third Early Gastric Cancer. J Gastrointest Surg 26, 659–661 (2022). https://doi.org/10.1007/s11605-021-05132-9

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  • DOI: https://doi.org/10.1007/s11605-021-05132-9

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