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A simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy

In laparoscopy-assisted total gastrectomy, esophagojejunostomy is technically difficult. We describe a safe and simple technique for circular-stapled esophagojejunostomy. After mobilization of the stomach and the esophagus, a semicircumferential esophagotomy is made at the anterior esophageal wall.... Full description

Journal Title: The American Journal of Surgery 2009, Vol.197(1), pp.e13-e17
Main Author: Omori, Takeshi
Other Authors: Oyama, Tsukasa , Mizutani, Shin , Tori, Masayuki , Nakajima, Kiyokazu , Akamatsu, Hiroki , Nakahara, Masaaki , Nishida, Toshirou
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0002-9610 ; E-ISSN: 1879-1883 ; DOI: 10.1016/j.amjsurg.2008.04.019
Link: https://www.sciencedirect.com/science/article/pii/S0002961008006132
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recordid: elsevier_sdoi_10_1016_j_amjsurg_2008_04_019
title: A simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy
format: Article
creator:
  • Omori, Takeshi
  • Oyama, Tsukasa
  • Mizutani, Shin
  • Tori, Masayuki
  • Nakajima, Kiyokazu
  • Akamatsu, Hiroki
  • Nakahara, Masaaki
  • Nishida, Toshirou
subjects:
  • Laparoscopic Surgery
  • Total Gastrectomy
  • Roux-En Y Reconstruction
  • Esophagojejunostomy
  • Hemidouble Stapling Technique
  • Gastric Cancer
ispartof: The American Journal of Surgery, 2009, Vol.197(1), pp.e13-e17
description: In laparoscopy-assisted total gastrectomy, esophagojejunostomy is technically difficult. We describe a safe and simple technique for circular-stapled esophagojejunostomy. After mobilization of the stomach and the esophagus, a semicircumferential esophagotomy is made at the anterior esophageal wall. An anvil of a circular stapling device, secured with a Prolene suture (Ethicon, Inc, Somerville, NJ), is introduced via the esophagotomy. The suture is advanced anteriorly so that the center rod penetrates the esophageal wall. The esophagus is staple transected at this point. The circular-stapled esophagojejunostomy is then performed using the hemidouble stapling technique. Laparoscopy-assisted total gastrectomies were performed in 10 patients with gastric cancers. All patients were completed laparoscopically without any complications. The time of anvil placement was 9 minutes in median. Although a wound infection occurred in 1 patient, there were no major complications. There was no mortality in this series. Esophagojejunostomy using this technique is safe and simple. Its practical value is the elimination of the need for pursestring suture placement.
language: eng
source:
identifier: ISSN: 0002-9610 ; E-ISSN: 1879-1883 ; DOI: 10.1016/j.amjsurg.2008.04.019
fulltext: fulltext
issn:
  • 0002-9610
  • 00029610
  • 1879-1883
  • 18791883
url: Link


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titleA simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy
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subjectLaparoscopic Surgery ; Total Gastrectomy ; Roux-En Y Reconstruction ; Esophagojejunostomy ; Hemidouble Stapling Technique ; Gastric Cancer
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descriptionIn laparoscopy-assisted total gastrectomy, esophagojejunostomy is technically difficult. We describe a safe and simple technique for circular-stapled esophagojejunostomy. After mobilization of the stomach and the esophagus, a semicircumferential esophagotomy is made at the anterior esophageal wall. An anvil of a circular stapling device, secured with a Prolene suture (Ethicon, Inc, Somerville, NJ), is introduced via the esophagotomy. The suture is advanced anteriorly so that the center rod penetrates the esophageal wall. The esophagus is staple transected at this point. The circular-stapled esophagojejunostomy is then performed using the hemidouble stapling technique. Laparoscopy-assisted total gastrectomies were performed in 10 patients with gastric cancers. All patients were completed laparoscopically without any complications. The time of anvil placement was 9 minutes in median. Although a wound infection occurred in 1 patient, there were no major complications. There was no mortality in this series. Esophagojejunostomy using this technique is safe and simple. Its practical value is the elimination of the need for pursestring suture placement.
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titleA simple and safe technique for esophagojejunostomy using the hemidouble stapling technique in laparoscopy-assisted total gastrectomy
description

In laparoscopy-assisted total gastrectomy, esophagojejunostomy is technically difficult. We describe a safe and simple technique for circular-stapled esophagojejunostomy. After mobilization of the stomach and the esophagus, a semicircumferential esophagotomy is made at the anterior esophageal wall. An anvil of a circular stapling device, secured with a Prolene suture (Ethicon, Inc, Somerville, NJ), is introduced via the esophagotomy. The suture is advanced anteriorly so that the center rod penetrates the esophageal wall. The esophagus is staple transected at this point. The circular-stapled esophagojejunostomy is then performed using the hemidouble stapling technique. Laparoscopy-assisted total gastrectomies were performed in 10 patients with gastric cancers. All patients were completed laparoscopically without any complications. The time of anvil placement was 9 minutes in median. Although a wound infection occurred in 1 patient, there were no major complications. There was no...

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In laparoscopy-assisted total gastrectomy, esophagojejunostomy is technically difficult. We describe a safe and simple technique for circular-stapled esophagojejunostomy. After mobilization of the stomach and the esophagus, a semicircumferential esophagotomy is made at the anterior esophageal wall. An anvil of a circular stapling device, secured with a Prolene suture (Ethicon, Inc, Somerville, NJ), is introduced via the esophagotomy. The suture is advanced anteriorly so that the center rod penetrates the esophageal wall. The esophagus is staple transected at this point. The circular-stapled esophagojejunostomy is then performed using the hemidouble stapling technique. Laparoscopy-assisted total gastrectomies were performed in 10 patients with gastric cancers. All patients were completed laparoscopically without any complications. The time of anvil placement was 9 minutes in median. Although a wound infection occurred in 1 patient, there were no major complications. There was no...

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lad01The American Journal of Surgery