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Intracorporeal esophagojejunostomy using a linear stapler in laparoscopic total gastrectomy: comparison with circular stapling technique

DC Field Value Language
dc.contributor.author송정호-
dc.contributor.author손태일-
dc.contributor.author이세진-
dc.contributor.author김형일-
dc.contributor.author형우진-
dc.contributor.author최서희-
dc.contributor.author조민아-
dc.date.accessioned2020-09-28T11:11:47Z-
dc.date.available2020-09-28T11:11:47Z-
dc.date.issued2020-05-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/179189-
dc.description.abstractBackground: Laparoscopic total gastrectomy for gastric cancer is feasible but less commonly performed compared to laparoscopic distal gastrectomy due to technical difficulties such as reconstruction. There is no standard esophagojejunal anastomosis technique in laparoscopic total gastrectomy due to a lack of evidence. Methods: We retrospectively analyzed data from 213 patients with gastric cancer who underwent laparoscopic total gastrectomy from October 2012 to December 2016. Of these, 109 and 104 patients underwent esophagojejunostomy with linear and circular stapling, respectively. We compared short-term postoperative outcomes, including surgical complications and anastomosis costs between both groups. Results: The mean operation time in the linear stapler group was longer than the circular stapler group (Linear stapler, 235.3 ± 57.9 vs. Circular stapler, 217.1 ± 55.8 min; P = 0.021); however, D2 lymph node dissection was performed more in the linear stapler group (Linear stapler, 36.7% vs. Circular stapler, 23.1%; P = 0.030). There were two anastomosis leakages in each group (Linear stapler, 1.8% vs. Circular stapler, 1.9%; P > 0.999). Anastomosis stenosis only occurred in the circular stapler group (Linear stapler, 0% vs. Circular stapler, 7.7%; P = 0.003). Although the linear stapling technique used more stapler cartridges (Linear stapler, 7.6 ± 1.1 vs. Circular stapler, 4.8 ± 0.9; P < 0.001), costs related to anastomosis were lower in the linear stapler group (Linear stapler, 1,904,679 ± 342,116 vs. Circular stapler, 2,246,150 ± 427,136KRW; P < 0.001). Conclusions: Esophagojejunostomy with the linear stapling technique reduces anastomosis stenosis in laparoscopic total gastrectomy. It can be recommended as a safe and more cost-effective method for esophagojejunal anastomosis.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherBioMed Central-
dc.relation.isPartOfBMC SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleIntracorporeal esophagojejunostomy using a linear stapler in laparoscopic total gastrectomy: comparison with circular stapling technique-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorSejin Lee-
dc.contributor.googleauthorHarim Lee-
dc.contributor.googleauthorJeong Ho Song-
dc.contributor.googleauthorSeohee Choi-
dc.contributor.googleauthorMinah Cho-
dc.contributor.googleauthorTaeil Son-
dc.contributor.googleauthorHyoung-Il Kim-
dc.contributor.googleauthorWoo Jin Hyung-
dc.identifier.doi10.1186/s12893-020-00746-3-
dc.contributor.localIdA04763-
dc.contributor.localIdA01998-
dc.contributor.localIdA05933-
dc.contributor.localIdA01154-
dc.contributor.localIdA04382-
dc.contributor.localIdA05052-
dc.contributor.localIdA05418-
dc.relation.journalcodeJ00377-
dc.identifier.eissn1471-2482-
dc.identifier.pmid32398072-
dc.subject.keywordCircular stapler-
dc.subject.keywordEsophagojejunostomy-
dc.subject.keywordLaparoscopic total gastrectomy-
dc.subject.keywordLinear stapler-
dc.subject.keywordStenosis-
dc.contributor.alternativeNameSong, Jeong Ho-
dc.contributor.affiliatedAuthor송정호-
dc.contributor.affiliatedAuthor손태일-
dc.contributor.affiliatedAuthor이세진-
dc.contributor.affiliatedAuthor김형일-
dc.contributor.affiliatedAuthor형우진-
dc.contributor.affiliatedAuthor최서희-
dc.contributor.affiliatedAuthor조민아-
dc.citation.volume20-
dc.citation.number1-
dc.citation.startPage100-
dc.identifier.bibliographicCitationBMC SURGERY, Vol.20(1) : 100, 2020-05-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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