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- Title
Application of the transorally inserted anvil (OrVil) after laparoscopy-assisted total gastrectomy.
- Authors
Kunisaki C; Makino H; Oshima T; Fujii S; Kimura J; Takagawa R; Kosaka T; Akiyama H; Morita S; Endo I; Kunisaki, Chikara; Makino, Hirochika; Oshima, Takashi; Fujii, Shoichi; Kimura, Jun; Takagawa, Ryo; Kosaka, Takashi; Akiyama, Hirotoshi; Morita, Satoshi; Endo, Itaru
- Abstract
<bold>Background: </bold>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).<bold>Methods: </bold>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.<bold>Results: </bold>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.<bold>Conclusions: </bold>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.
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2011, Vol 25, Issue 4, p1300
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-010-1367-5