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A novel method of self-pulling and latter transected reconstruction in totally laparoscopic total gastrectomy: feasibility and short-term safety

Surgical Endoscopy volume 31, pages 2968–2976 (2017)Cite this article

Abstract

Background

This study depicts a novel reconstruction method of self-pulling and latter transection (SPLT) in totally laparoscopic total gastrectomy (TLTG) and evaluates its feasibility and short-term safety by comparing its surgical and postoperative outcomes with the conventional TLTG.

Patients and methods

Forty patients with gastric cancer from June 2014 to December 2015 received SPLT-TLTG. Data of clinicopathologic characteristics, surgical and postoperative outcomes, and follow-up findings in SPLT cases were collected and retrospectively compared with those of conventional TLTG to clarify the clinical benefits.

Results

The mean duration of the operation was 179.5 ± 37.7 min in SPLT-TLTG, including 23.2 ± 8.8 min of reconstruction; both were significantly shorter than the conventional TLTG (P = 0.030; P < 0.001). There were no significant differences in blood loss, time of the first flatus and postoperative hospital stays between two groups. SPLT-TLTG developed no complication beyond the conventional TLTG.

Conclusion

SPLT-TLTG is safe, feasible and minimally invasive. It may serve as a promising procedure for gastric cancer that helps to expand the indication of TLTG to cases with even high level of tumor invasion and requires less in both surgical skills and clinical costs.

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Affiliations

  1. Department of General Surgery, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China

    Jun Hong, Ya-Ping Wang, Jian Wang, Yi-Bing Bei, Lu-Chun Hua & Han-Kun Hao

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  1. Jun Hong
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  2. Ya-Ping Wang
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  3. Jian Wang
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  4. Yi-Bing Bei
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  5. Lu-Chun Hua
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  6. Han-Kun Hao
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Corresponding author

Correspondence to Han-Kun Hao.

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Disclosures

Drs. Jun Hong, Ya-Ping Wang, Jian Wang, Yi-bing Bei, Lu-Chun Hua and Han-Kun Hao have no conflicts of interest or financial ties to disclose.

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Hong, J., Wang, YP., Wang, J. et al. A novel method of self-pulling and latter transected reconstruction in totally laparoscopic total gastrectomy: feasibility and short-term safety. Surg Endosc 31, 2968–2976 (2017). https://doi.org/10.1007/s00464-016-5314-y

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  • DOI: https://doi.org/10.1007/s00464-016-5314-y

Keywords

  • Totally laparoscopic total gastrectomy
  • Self-pulling
  • Latter transection
  • Esophagojejunostomy
  • Endoscopic linear stapler