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- Title
Laparoscopy-assisted distal gastrectomy with intracorporeal Billroth I stapled anastomosis using a hand access device for patients with gastric cancer.
- Authors
Joo, Y.; Moon, H.; Lee, S.; Jeong, C.; Jung, E.; Hong, S.; Choi, S.; Ha, W.; Park, S.; Lee, Y.; Joo, Y-T; Moon, H-G; Lee, S H; Jeong, C-Y; Jung, E-J; Hong, S-C; Choi, S-K; Ha, W-S; Park, S-T; Lee, Y-J
- Abstract
<bold>Background: </bold>Billroth I gastroduodenostomy is an anastomotic procedure used widely after gastric resection for distal gastric cancer. As laparoscopy-assisted distal gastrectomy (LADG) gains increasing popularity, various techniques of laparoscopic gastroduodenal anastomosis are being introduced.<bold>Methods: </bold>To investigate the feasibility and benefit of their novel surgical technique of intracorporeal Billroth I stapled anastomosis using a hand access device (IBISA-HAD), the authors performed LADG using IBISA-HAD for 23 patients with distal gastric cancer and LADG using minilaparotomy Billroth I stapled anastomosis (MLBISA) for 10 patients.<bold>Results: </bold>The time required for the anastomosis procedure of IBISA-HAD was 45.5 +/- 12.0 min, and the operative time, perioperative transfusion, and hospital stay were not significantly different between IBISA-HAD and MLBISA. The IBISA-HAD procedure provided a markedly enhanced vision of the stapling process, leading to less wound retraction and extension than MLBISA.<bold>Conclusion: </bold>The IBISA-HAD technique can provide a markedly enhanced view of the stapling procedure with the help of a current state-of-art laparoscopy system. The authors believe that this novel technique can guide an accurate laparoscopic anastomosis for the surgeon dealing with obese patients who have distal gastric cancer.
- Subjects
GASTRECTOMY; GASTRODUODENOSTOMY; LAPAROSCOPIC surgery; ENDOSCOPIC surgery; GASTRIC bypass; GASTRIC diseases
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2007, Vol 21, Issue 6, p859
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-006-9060-4