Premium
Modified esophagogastrostomy in laparoscopy‐assisted proximal gastrectomy: A reverse‐Tornado anastomosis
Author(s) -
Kubota Keisuke,
Suzuki Akihiro,
Fujikawa Aoi,
Watanabe Takayuki,
Sekido Yuki,
Shiozaki Hironori,
Taketa Takashi,
Shimada Gen,
Ohigashi Seiji,
Sakurai Shintaro,
Kishida Akihiro
Publication year - 2017
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12335
Subject(s) - medicine , surgery , anastomosis , blood loss , reflux esophagitis , laparoscopy , reflux , gastrectomy , cancer , disease
The aim of this study was to introduce and examine a modified mechanical end‐to‐side esophagogastrostomy method (“reverse‐Tornado" anastomosis) in laparoscopy‐assisted proximal gastrectomy. Methods Five patients with gastric cancer who underwent laparoscopy‐assisted proximal gastrectomy were analyzed retrospectively. Esophagogastrostomy in the anterior wall was performed in three patients, and esophagogastrostomy in the posterior wall was performed in two patients. Clinicopathological features, operative outcomes (operative time, operative blood loss), and postoperative outcomes (complications, postoperative hospital stay, reflux esophagitis) were evaluated. Results Operative time was normal (278 min). There was no marked operative blood loss, postoperative complications, prolonged hospital stay, or reflux esophagitis. Conclusion Esophagogastrostomy was completed in a normal time with reverse‐Tornado anastomosis. This method can be safe and can enable good postoperative quality of life.