Application of the transorally inserted anvil (OrVil™) after laparoscopy-assisted total gastrectomy
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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™).
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.
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.
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.
KeywordsEarly gastric cancer Esophagojejunostomy Laparoscopy-assisted total gastrectomy Reconstruction
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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