Laparoscopy-assisted Distal Gastrectomy with Intracorporeal Billroth I Stapled Anastomosis Using a Hand Access Device for Patients with Gastric Cancer

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2007 Jul 12

PMID 17623250

Citations 7

Authors

Y-T Joo

H-G Moon

S H Lee

C-Y Jeong

E-J Jung

S-C Hong

S-K Choi

W-S Ha

S-T Park

Y-J Lee

Affiliations

Soon will be listed here.

Abstract

Background: Billroth I gastroduodenostomy is an anastomotic procedure used widely after gastric resection for distal gastric cancer. As laparoscopy-assisted distal gastrectomy (LADG) gains increasing popularity, various techniques of laparoscopic gastroduodenal anastomosis are being introduced.

Methods: To investigate the feasibility and benefit of their novel surgical technique of intracorporeal Billroth I stapled anastomosis using a hand access device (IBISA-HAD), the authors performed LADG using IBISA-HAD for 23 patients with distal gastric cancer and LADG using minilaparotomy Billroth I stapled anastomosis (MLBISA) for 10 patients.

Results: The time required for the anastomosis procedure of IBISA-HAD was 45.5 +/- 12.0 min, and the operative time, perioperative transfusion, and hospital stay were not significantly different between IBISA-HAD and MLBISA. The IBISA-HAD procedure provided a markedly enhanced vision of the stapling process, leading to less wound retraction and extension than MLBISA.

Conclusion: The IBISA-HAD technique can provide a markedly enhanced view of the stapling procedure with the help of a current state-of-art laparoscopy system. The authors believe that this novel technique can guide an accurate laparoscopic anastomosis for the surgeon dealing with obese patients who have distal gastric cancer.

Citing Articles

Delta-shaped anastomosis, a good substitute for conventional Billroth I technique with comparable long-term functional outcome in totally laparoscopic distal gastrectomy.

Lee H, Song K, Lee J, Park S, Kim J Surg Endosc. 2014; 29(9):2545-52.

PMID: 25427413 DOI: 10.1007/s00464-014-3966-z.

Totally laparoscopic distal gastrectomy after learning curve completion: comparison with laparoscopy-assisted distal gastrectomy.

Kim H, Park J, Jeong S, Lee Y, Ha W, Choi S J Gastric Cancer. 2013; 13(1):26-33.

PMID: 23610716 PMC: 3627803. DOI: 10.5230/jgc.2013.13.1.26.

Progression from laparoscopic-assisted to totally laparoscopic distal gastrectomy: comparison of circular stapler (i-DST) and linear stapler (BBT) for intracorporeal anastomosis.

Ikeda T, Kawano H, Hisamatsu Y, Ando K, Saeki H, Oki E Surg Endosc. 2012; 27(1):325-32.

PMID: 22733199 PMC: 3532722. DOI: 10.1007/s00464-012-2433-y.

Synchronous Adenocarcinoma and Gastrointestinal Stromal Tumor of the Stomach Treated by a Combination of Laparoscopy-assisted Distal Gastrectomy and Wedge Resection.

Jeong S, Lee Y, Park S, Choi S, Hong S, Jung E J Gastric Cancer. 2011; 11(1):55-8.

PMID: 22076202 PMC: 3204477. DOI: 10.5230/jgc.2011.11.1.55.

Risk of recurrence after laparoscopy-assisted radical gastrectomy for gastric cancer performed by a single surgeon.

Jeong S, Lee Y, Park S, Choi S, Hong S, Jung E Surg Endosc. 2010; 25(3):872-8.

PMID: 21072670 DOI: 10.1007/s00464-010-1286-5.

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