Application of hand-sewn esophagojejunostomy in laparoscopic total gastrectomy

To investigate the clinical efficacy and prognostic implication of hand-sewn anastomosis in laparoscopic total gastrectomy (LTG). Retrospective analysis is adopted to the clinicopathologic data of 112 patients with gastric cancer (GC) who went through LTG in the Department of General Surgery, the Se...

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Bibliographic Details
Published in:World journal of surgical oncology 2024-03, Vol.22 (1), p.73-73, Article 73
Main Authors: Gu, Hao, Li, Weixiang, Zhou, Lianbang
Format: Article
Language:English
Subjects:
Abdomen
Adaptability
Anastomosis
Anastomosis, Surgical
Care and treatment
Complications
Diagnosis
Digestive tract reconstruction
Effectiveness
Esophagus
Gastrectomy
Gastrectomy - adverse effects
Gastric cancer
Gastrointestinal surgery
Hand-sewn esophagojejunostomy
Health services
Hospitalization
Humans
Laparoscopic total gastrectomy
Laparoscopy
Ligaments
Patient outcomes
Postoperative
Postoperative Complications - etiology
Retrospective Studies
Review
Small intestine
Stomach cancer
Surgery
Surgical anastomosis
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Summary:To investigate the clinical efficacy and prognostic implication of hand-sewn anastomosis in laparoscopic total gastrectomy (LTG). Retrospective analysis is adopted to the clinicopathologic data of 112 patients with gastric cancer (GC) who went through LTG in the Department of General Surgery, the Second Affiliated Hospital of Anhui Medical University between October 2020 and October 2022. Among them, 60 individuals receiving medical care were split into the hand-sewn anastomosis group (Group H, N = 60); while, 52 individuals were split into the circular stapler anastomosis group (Group C, N = 52) The clinical efficacy and prognostic conditions of hand-sewn anastomosis are compared with those of circular stapler anastomosis in the application of LTG. The analysis results indicated that no notable difference was observed in intraoperative bleeding volume, time to first flatus (TFF), postoperative hospitalization duration and postoperative complications among the two groups (P > 0.05). Group H had shorter esophagojejunal anastomosis duration (20.0 min vs. 35.0 min) and surgery duration (252.6 ± 19.4 min vs. 265.9 ± 19.8 min), smaller incisions (5.0 cm vs. 10.5 cm), and lower hospitalization costs (58415.0 CNY vs. 63382.5 CNY) compared to Group C (P 
ISSN:1477-7819
1477-7819
DOI:10.1186/s12957-024-03350-4