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Surgical Endoscopy

, Volume 25, Issue 4, pp 1300–1305 | Cite as

Application of the transorally inserted anvil (OrVil™) after laparoscopy-assisted total gastrectomy

  • Chikara Kunisaki
  • Hirochika Makino
  • Takashi Oshima
  • Shoichi Fujii
  • Jun Kimura
  • Ryo Takagawa
  • Takashi Kosaka
  • Hirotoshi Akiyama
  • Satoshi Morita
  • Itaru Endo
Article

Abstract

Background

Laparoscopy-assisted total gastrectomy (LATG) is not a commonly performed procedure due to the surgical difficulty associated with reconstruction. Although various reconstruction methods have been reported, a standard technique has not yet been established. In this study, we compared the short-term outcomes of LATG reconstructed by mini-laparotomy and by the newly developed transorally inserted anvil (OrVil™).

Methods

From April 2006, a series of 45 patients underwent LATG. Of these, 15 were reconstructed by mini-laparotomy and 30 by OrVil™. Short-term outcomes were compared between the two groups.

Results

Operation time was significantly shortened and intraoperative blood loss significantly reduced by the use of OrVil™. The postoperative course, including morbidity, did not differ between the two groups.

Conclusions

LATG using OrVil™ for the treatment of early gastric cancer is a technically feasible surgical procedure with sufficient lymph node dissection, satisfactory early recovery, and acceptable morbidity. It will be necessary to perform this novel technique in a large number of patients to confirm its feasibility.

Keywords

Early gastric cancer Esophagojejunostomy Laparoscopy-assisted total gastrectomy Reconstruction 

Notes

Disclosures

Drs. Kunisaki, Makino, Oshima, Fujii, Kimura, Takagawa, Kosaka, Akiyama, and Endo have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Chikara Kunisaki
    • 1
  • Hirochika Makino
    • 1
  • Takashi Oshima
    • 1
  • Shoichi Fujii
    • 1
  • Jun Kimura
    • 2
  • Ryo Takagawa
    • 2
  • Takashi Kosaka
    • 2
  • Hirotoshi Akiyama
    • 2
  • Satoshi Morita
    • 3
  • Itaru Endo
    • 2
  1. 1.Department of Surgery, Gastroenterological CenterYokohama City UniversityYokohamaJapan
  2. 2.Department of Gastroenterological SurgeryYokohama City UniversityYokohamaJapan
  3. 3.Department of Clinical StatisticsYokohama City UniversityYokohamaJapan

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