Effect of π-shaped Esophagojejunal Anastomosis in Laparoscopic Total Gastrectomy

• Published in: Indian journal of surgery 2023-04, Vol.85 (2), p.384-391
• Main Authors: Xu, Kai, Xing, Jiadi, Liu, Maoxing, Cui, Ming, Zhang, Chenghai, Yang, Hong, Yao, Zhendan, Zhang, Nan, Tan, Fei, Gao, Pin, Su, Xiangqian
• Format: Article
• Language: English
• Subjects: Cardiac Surgery; Gastric cancer; Gastrointestinal surgery; Laparoscopy; Medicine; Medicine & Public Health; Neurosurgery; Original Article; Pediatric Surgery; Plastic Surgery; Surgery; Thoracic Surgery
• ISSN: 0972-2068; 0973-9793
• DOI: 10.1007/s12262-022-03399-z

This study aimed to discuss the safety and feasibility of applying π-shaped esophagojejunal anastomosis in laparoscopic total gastrectomy (LTG). Case series analysis was utilized, cross-sectional method was used, and clinicopathological data from63 gastric cancer patients were gathered. Of the enrolled patients, 43 underwent laparoscopic total gastrectomy, dissociation of the esophagus and stomach, lymph node dissection and π-shaped anastomosis to complete laparoscopic reconstruction of the digestive tract. The other 20 patients underwent traditional open total gastrectomy (OTG). According to the unified statistical method, we calculated the ASA score results. In the case of laparoscopic total gastrectomy, π-shaped esophagojejunal anastomosis was successful. There was a significant difference in various preoperative physiological indexes, like tumor stage between the two groups. The average operative time of the laparoscopic total gastrectomy group was higher than that of the open total gastrectomy group, while the average intraoperative hemorrhage and postoperative recovery time were less than those of the open total gastrectomy group. The findings suggested that the application of π-shaped esophagojejunal anastomosis in laparoscopic total gastrectomy is safe and feasible based on the comparison of the short-term and long-term effects of the two groups of patients.