Comparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomy
Abstract Background Globally, totally laparoscopic total gastrectomy is increasingly being accepted by surgeons for the treatment of gastric cancer. Overlap anastomosis and π-shaped anastomosis are the two most commonly used anastomosis methods in total laparoscopic surgery; however, their safety an...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12893-024-02703-w |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832595023564111872 |
|---|---|
| author | Tongkun Song Maoxing Liu Kai Xu Jiadi Xing Kechen Guo Xinyu Qi Pin Gao Fei Tan Zhendan Yao Nan Zhang Hong Yang Chenghai Zhang Ming Cui Xiangqian Su |
| author_facet | Tongkun Song Maoxing Liu Kai Xu Jiadi Xing Kechen Guo Xinyu Qi Pin Gao Fei Tan Zhendan Yao Nan Zhang Hong Yang Chenghai Zhang Ming Cui Xiangqian Su |
| author_sort | Tongkun Song |
| collection | DOAJ |
| description | Abstract Background Globally, totally laparoscopic total gastrectomy is increasingly being accepted by surgeons for the treatment of gastric cancer. Overlap anastomosis and π-shaped anastomosis are the two most commonly used anastomosis methods in total laparoscopic surgery; however, their safety and suitability for the population are still unclear. Methods A total of 162 consecutive patients with gastric cancer who underwent total laparoscopic total gastrectomy with overlap or π-shaped anastomosis were retrospectively analyzed. The intraoperative conditions and postoperative complications were compared. Results A significant difference in the tumor location was found between the two groups (p < 0.05). No significant difference was found in the operation time, intraoperative blood loss, and postoperative hospital stay between the two anastomosis methods (p > 0.05); however, the π-shaped anastomosis group had more postoperative anastomotic leakage (p < 0.05). Conclusions Overlap anastomosis is recommended as the preferred anastomosis for totally laparoscopic total gastrectomy, and π-shaped anastomosis can be applied to non-gastroesophageal junction cancer with lower tumor location. |
| format | Article |
| id | doaj-art-0e4add6ac7cf47239f32abc295496b42 |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-0e4add6ac7cf47239f32abc295496b422025-01-19T12:07:56ZengBMCBMC Surgery1471-24822025-01-012511610.1186/s12893-024-02703-wComparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomyTongkun Song0Maoxing Liu1Kai Xu2Jiadi Xing3Kechen Guo4Xinyu Qi5Pin Gao6Fei Tan7Zhendan Yao8Nan Zhang9Hong Yang10Chenghai Zhang11Ming Cui12Xiangqian Su13Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Surgery IV, Peking University Cancer Hospital & InstituteAbstract Background Globally, totally laparoscopic total gastrectomy is increasingly being accepted by surgeons for the treatment of gastric cancer. Overlap anastomosis and π-shaped anastomosis are the two most commonly used anastomosis methods in total laparoscopic surgery; however, their safety and suitability for the population are still unclear. Methods A total of 162 consecutive patients with gastric cancer who underwent total laparoscopic total gastrectomy with overlap or π-shaped anastomosis were retrospectively analyzed. The intraoperative conditions and postoperative complications were compared. Results A significant difference in the tumor location was found between the two groups (p < 0.05). No significant difference was found in the operation time, intraoperative blood loss, and postoperative hospital stay between the two anastomosis methods (p > 0.05); however, the π-shaped anastomosis group had more postoperative anastomotic leakage (p < 0.05). Conclusions Overlap anastomosis is recommended as the preferred anastomosis for totally laparoscopic total gastrectomy, and π-shaped anastomosis can be applied to non-gastroesophageal junction cancer with lower tumor location.https://doi.org/10.1186/s12893-024-02703-wOverlap anastomosisπ-shaped anastomosisTotally laparoscopic total gastrectomyGastroesophageal junction cancer |
| spellingShingle | Tongkun Song Maoxing Liu Kai Xu Jiadi Xing Kechen Guo Xinyu Qi Pin Gao Fei Tan Zhendan Yao Nan Zhang Hong Yang Chenghai Zhang Ming Cui Xiangqian Su Comparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomy BMC Surgery Overlap anastomosis π-shaped anastomosis Totally laparoscopic total gastrectomy Gastroesophageal junction cancer |
| title | Comparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomy |
| title_full | Comparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomy |
| title_fullStr | Comparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomy |
| title_full_unstemmed | Comparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomy |
| title_short | Comparison of the safety of esophagojejunal overlap and π-shaped anastomosis in totally laparoscopic total gastrectomy |
| title_sort | comparison of the safety of esophagojejunal overlap and π shaped anastomosis in totally laparoscopic total gastrectomy |
| topic | Overlap anastomosis π-shaped anastomosis Totally laparoscopic total gastrectomy Gastroesophageal junction cancer |
| url | https://doi.org/10.1186/s12893-024-02703-w |
| work_keys_str_mv | AT tongkunsong comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT maoxingliu comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT kaixu comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT jiadixing comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT kechenguo comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT xinyuqi comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT pingao comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT feitan comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT zhendanyao comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT nanzhang comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT hongyang comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT chenghaizhang comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT mingcui comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy AT xiangqiansu comparisonofthesafetyofesophagojejunaloverlapandpshapedanastomosisintotallylaparoscopictotalgastrectomy |