【摘 要】
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BACKGROUND We presented our preliminary clinical data for totally laparoscopic D2 radical distal gastrectomy using delta-shaped anastomosis (TLG-DSA) to evaluate its effectiveness in terms of minimal
【机 构】
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Department of Gastrointestinal Surgery, Shaoxing People ' s Hospital, Shaoxing Hospital of Zhejiang
【出 处】
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2015浙江省肿瘤外科学术年会暨首届钱江国际肿瘤外科高峰论坛
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BACKGROUND We presented our preliminary clinical data for totally laparoscopic D2 radical distal gastrectomy using delta-shaped anastomosis (TLG-DSA) to evaluate its effectiveness in terms of minimal invasiveness, technical feasibility, and safety for resection of early gastric cancer.METHODOLOGY Five consecutive patients who underwent TLG-DSA in our institution from October22th 2013 to November 29th 2013 were enrolled in this study.In all five cases, only laparoscopic linear staplers were used for intracorporeal anastomosis.RESULTS There were 3 men and 2 women, with a mean age of 67.6 years and a mean body mass index(BMI) of 21.4.All the patients with early gastric cancer were received TLG-DSA.The mean operation time was140 minutes, the mean anastomotic time was 19.0 minutes, the mean number of staples used was six, and the mean estimated blood loss was 56 ml.There was no case of conversion to an open procedure.The first flatus was observed at 4.4 days, and liquid diet was started at 5.2 days.The mean postoperative hospital stay was 9.8 days.No postoperative complications were found in all five patients, and no postoperative mortality occurred.CONCLUSIONS TLG-DSA using laparoscopic linear staplers for early gastric cancer was safe and feasible.Delta-shaped anastomosis is a simple, easy and safe method of intracorporeal gastroduodenostomy.
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