AIM: To assess the efficacy and safety of intracorporeal esophagojejunostomy in patients undergoing laparoscopic total gastrectomy(LTG) for gastric cancer.METHODS: A retrospective review of 81 consecutive patients who...AIM: To assess the efficacy and safety of intracorporeal esophagojejunostomy in patients undergoing laparoscopic total gastrectomy(LTG) for gastric cancer.METHODS: A retrospective review of 81 consecutive patients who underwent LTG with the same surgical team between November 2007 and July 2014 was performed. Four types of intracorporeal esophagojejunostomy using staplers or hand-sewn suturing were performed after LTG. Data on clinicopatholgoical characteristics, occurrence of complications, postoperative recovery, anastomotic time, and operation time among the surgical groups were obtained through medical records.RESULTS: The average operation time was 288.7 min, the average anastomotic time was 54.3 min, and the average estimated blood loss was 82.7 m L. There were no cases of conversion to open surgery. The first flatus was observed around 3.7 d, while the liquid diet was started, on average, from 4.9 d. The average postoperative hospital stay was 10.1 d. Postoperative complications occurred in 14 patients, nearly 17.3%.However, there were no cases of postoperative death.CONCLUSION: LTG performed with intracorporeal esophagojejunostomy using laparoscopic staplers or hand-sewn suturing is feasible and safe. The surgical results were acceptable from the perspective of minimal invasiveness.展开更多
The 2018 joint International congress of International Liver Transplantation Society(ILTS),European Liver and Intestine Transplant Association(ELITA)and Liver Intensive Care Group of Europe(LICAGE)was held in Lisbon,t...The 2018 joint International congress of International Liver Transplantation Society(ILTS),European Liver and Intestine Transplant Association(ELITA)and Liver Intensive Care Group of Europe(LICAGE)was held in Lisbon,the capital of Portugal,from May 23 to 26,2018.Congress program chair is Nancy Kwan Man from University of Hong Kong,China,and ILTS President is Patrizia Burra from Padova展开更多
基金Supported by Natural Science Foundation of Zhejiang Province,No.LY12H16026Chinese Medical Technology Foundation of Zhejiang Province,China,No.2012ZA087
文摘AIM: To assess the efficacy and safety of intracorporeal esophagojejunostomy in patients undergoing laparoscopic total gastrectomy(LTG) for gastric cancer.METHODS: A retrospective review of 81 consecutive patients who underwent LTG with the same surgical team between November 2007 and July 2014 was performed. Four types of intracorporeal esophagojejunostomy using staplers or hand-sewn suturing were performed after LTG. Data on clinicopatholgoical characteristics, occurrence of complications, postoperative recovery, anastomotic time, and operation time among the surgical groups were obtained through medical records.RESULTS: The average operation time was 288.7 min, the average anastomotic time was 54.3 min, and the average estimated blood loss was 82.7 m L. There were no cases of conversion to open surgery. The first flatus was observed around 3.7 d, while the liquid diet was started, on average, from 4.9 d. The average postoperative hospital stay was 10.1 d. Postoperative complications occurred in 14 patients, nearly 17.3%.However, there were no cases of postoperative death.CONCLUSION: LTG performed with intracorporeal esophagojejunostomy using laparoscopic staplers or hand-sewn suturing is feasible and safe. The surgical results were acceptable from the perspective of minimal invasiveness.
文摘The 2018 joint International congress of International Liver Transplantation Society(ILTS),European Liver and Intestine Transplant Association(ELITA)and Liver Intensive Care Group of Europe(LICAGE)was held in Lisbon,the capital of Portugal,from May 23 to 26,2018.Congress program chair is Nancy Kwan Man from University of Hong Kong,China,and ILTS President is Patrizia Burra from Padova