Various types of intracorporealesophagojejunostomy after laparoscopic total gastrectomy for gastric cancer:A national multi-center retrospective study
Abstract：Objective To compare the security and short-term effect of the digestive reconstruction during the totally laparoscopic total gastrectomy for gastric cancer between the circular anastomosis and linear anastomosis. Methods The clinical data of 224 gastric cancer patients with digestive reconstruction underwent totally laparoscopic total gastrectomy between January 2011 and June 2016 in 17 domestic hospitals were analyzed retrospectively.According to the difference of digestive reconstruction,all the patients can be divided into the circularanastomosis with 90 patients and the linear anastomosis with 134 cases.Results The operative time in digestive reconstruction with linear anastomosis was shorter (47.4 min vs. 52.3 min, P=0.015). There was no difference between the two groups on the intraoperative blood loss,near cutting margin, cost of the reconstruction,postoperative exhaust time,fluid diet,soft diet and the duration of postoperative hospital stay.Both groups had no death case during the perioperative period and there was no significant statistical difference of the postoperative complication rate(11.1% vs.11.9% , P=0.849). Conclusion The circular anastomosis and linear anastomosis are both safe and feasible for the digestive reconstruction under the totally laparoscopic total gastrectomy for gastric cancer. Besides,the linear anastomosis has the advatage of the less reconstruction time.
Keywords：gastric cancerlaparoscopic surgerygastrectomycircular anastomosislinear anastomosis
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 1288-1292 )