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Intracorporeal modified delta-shaped gastroduodenostomy during 2-port distal gastrectomy: technical aspects and short-term outcomes
DC Field | Value | Language |
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dc.contributor.author | 김유민 | - |
dc.contributor.author | 김형일 | - |
dc.contributor.author | 박성현 | - |
dc.contributor.author | 조민아 | - |
dc.contributor.author | 형우진 | - |
dc.date.accessioned | 2024-01-03T00:14:47Z | - |
dc.date.available | 2024-01-03T00:14:47Z | - |
dc.date.issued | 2023-09 | - |
dc.identifier.issn | 2288-6575 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/197203 | - |
dc.description.abstract | Purpose: Surgeons have become increasingly interested in reduced-port gastrectomy to minimize trauma while maintaining oncologic safety. Although gastroduodenostomy has the benefits of better nutritional outcomes and fewer postoperative complications than other types of reconstruction, gastroduodenostomy is not a preferred option for reduced-port distal gastrectomy because of technical difficulties. In this study, we describe our intracorporeal modified delta-shaped gastroduodenostomy technique, which is easily applicable during 2-port distal gastrectomy. Methods: We retrospectively reviewed our database of 30 consecutive patients with gastric cancer who underwent 2-port distal gastrectomy with intracorporeal modified delta-shaped gastroduodenostomy from October 2016 to May 2021. In this reduced-port approach, we used a Tropian Single port (TROPIAN TECH) via a 25-mm transumbilical incision and a 12-mm port at the right flank. All anastomoses were performed using a 60-mm endolinear stapler. We used 3 additional sutures to provide proper traction and support for the anastomosis. Results: Mean ± standard deviation of operation time was 148.9 ± 34.7 minutes; reconstruction time was 13.2 ± 4.6 minutes; estimated blood loss was 29.3 ± 44.4 mL; and length of hospital stay was 4.5 ± 1.2 postoperative days. A total of 11 patients (36.7%) had a Clavien-Dindo grade I or grade II complication, and there were no grade IIIa or higher complications. Conclusion: Intracorporeal modified delta-shaped gastroduodenostomy was safely performed via a 2-port approach, resulting in acceptable surgical outcomes and no major complications. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Surgical Society | - |
dc.relation.isPartOf | ANNALS OF SURGICAL TREATMENT AND RESEARCH | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Intracorporeal modified delta-shaped gastroduodenostomy during 2-port distal gastrectomy: technical aspects and short-term outcomes | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학교실) | - |
dc.contributor.googleauthor | Sejin Lee | - |
dc.contributor.googleauthor | Jeong Ho Song | - |
dc.contributor.googleauthor | Sung Hyun Park | - |
dc.contributor.googleauthor | Minah Cho | - |
dc.contributor.googleauthor | Yoo Min Kim | - |
dc.contributor.googleauthor | Woo Jin Hyung | - |
dc.contributor.googleauthor | Hyoung-Il Kim | - |
dc.identifier.doi | 10.4174/astr.2023.105.3.172 | - |
dc.contributor.localId | A00782 | - |
dc.contributor.localId | A01154 | - |
dc.contributor.localId | A06210 | - |
dc.contributor.localId | A05418 | - |
dc.contributor.localId | A04382 | - |
dc.relation.journalcode | J00180 | - |
dc.identifier.eissn | 2288-6796 | - |
dc.identifier.pmid | 37693292 | - |
dc.subject.keyword | Gastroenterostomy | - |
dc.subject.keyword | Minimally invasive surgical procedures | - |
dc.contributor.alternativeName | Kim, Yoo Min | - |
dc.contributor.affiliatedAuthor | 김유민 | - |
dc.contributor.affiliatedAuthor | 김형일 | - |
dc.contributor.affiliatedAuthor | 박성현 | - |
dc.contributor.affiliatedAuthor | 조민아 | - |
dc.contributor.affiliatedAuthor | 형우진 | - |
dc.citation.volume | 105 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 172 | - |
dc.citation.endPage | 177 | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGICAL TREATMENT AND RESEARCH, Vol.105(3) : 172-177, 2023-09 | - |
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