Overlap Anastomosis for Digestive Reconstruction during Laparoscopic Distal Gastrectomy with Intensive Regional Lymph Node Dissection: Physiological Impact of Preserving the Mesenteric Autonomic Nerves in the Lifted Jejunal Limb
Joint Authors
Hori, Tomohide
Kitano, Taku
Yasukawa, Daiki
Aisu, Yuki
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-09-23
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Laparoscopic gastrectomy is a treatment for gastric cancer, and isoperistaltic side-to-side reconstruction is called “overlap anastomosis.” The physiological advantages of preserving the autonomic nerves in the jejunal limb for digestive reconstruction are well known.
Here, we focused on overlap anastomosis with autonomic nerve-preserved mesojejunum of the lifted jejunal limb for laparoscopic distal gastrectomy with intentional lymph node dissection.
Our surgical techniques and technical pitfalls were described in detail.
The jejunum was partially sacrificed to preserve the autonomic nerves in the lifted jejunal limb.
The length of the staple line was 35 – 40 mm.
The endostapler entry was carefully closed to avoid even subtle stenosis.
Twelve patients were retrospectively evaluated with a follow-up of 5.0 ± 0.6 years.
Histological findings according to the Japanese classification were stage IA or IB.
Dietary intake and postoperative ambulation occurred at 3.3 ± 1.0 and 1.3 ± 0.5 days after surgery, respectively.
Postoperative complications according to Clavien–Dindo classification were one each of grade I and grade II.
Postoperative hospital stay was 6.7 ± 1.6 days.
Five patients were medication-free at final follow-up, with no recurrence in any patient.
Overlap anastomosis with autonomic nerve-preserved jejunal limb was safe and feasible for laparoscopic distal gastrectomy with lymph node dissection.
American Psychological Association (APA)
Kitano, Taku& Yasukawa, Daiki& Aisu, Yuki& Hori, Tomohide. 2018. Overlap Anastomosis for Digestive Reconstruction during Laparoscopic Distal Gastrectomy with Intensive Regional Lymph Node Dissection: Physiological Impact of Preserving the Mesenteric Autonomic Nerves in the Lifted Jejunal Limb. Surgery Research and Practice،Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1214797
Modern Language Association (MLA)
Kitano, Taku…[et al.]. Overlap Anastomosis for Digestive Reconstruction during Laparoscopic Distal Gastrectomy with Intensive Regional Lymph Node Dissection: Physiological Impact of Preserving the Mesenteric Autonomic Nerves in the Lifted Jejunal Limb. Surgery Research and Practice No. 2018 (2018), pp.1-10.
https://search.emarefa.net/detail/BIM-1214797
American Medical Association (AMA)
Kitano, Taku& Yasukawa, Daiki& Aisu, Yuki& Hori, Tomohide. Overlap Anastomosis for Digestive Reconstruction during Laparoscopic Distal Gastrectomy with Intensive Regional Lymph Node Dissection: Physiological Impact of Preserving the Mesenteric Autonomic Nerves in the Lifted Jejunal Limb. Surgery Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1214797
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1214797