Prevention of Internal Hernia During Robotic Total Gastrectomy for Gastric Cancer
作者: Toshiyasu OjimaMasaki NakamuraMikihito NakamoriKeiji HayataMasahiro KatsudaToshiaki TsujiShimpei MaruokaHiroki Yamaue
作者单位: 1Second Department of Surgery, Wakayama Medical University, School of Medicine
刊名: Journal of Gastrointestinal Surgery, 2018, Vol.22 (5), pp.934-934
来源数据库: Springer Journal
DOI: 10.1007/s11605-018-3678-0
关键词: Internal herniaRobotic total gastrectomyGastric cancer
英文摘要: Abstract(#br) Background(#br)Postoperative internal hernia (IH) is a potentially life-threatening acute protrusion of viscus through an iatrogenic mesenteric defect. In our retrospective study of 1943 consecutive gastric cancer (GC) patients who had undergone surgery, the incidence of IH after laparoscopic total gastrectomy (LTG) was 4.9%. 1 This high incidence seems to be caused by decreased adhesion formation after LTG. There is no consensus regarding orifice management during robotic total gastrectomy (RTG). We therefore developed a new procedure for IH prevention during RTG.(#br) Methods(#br)We performed RTG with antecolic Roux-en-Y reconstruction using the da Vinci S system (Intuitive, Sunnyvale, CA). We chose an intracorporeal side-to-side esophagojejunostomy (overlap method). 2...
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影响因子:2.361 (2012)

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