ヤノ　シュウヤ   Shuya Yano   矢野　修也    所属   川崎医科大学  医学部 臨床医学　消化器外科学    職種   講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Intracorporeal semi-hand-sewn Billroth I reconstruction in total laparoscopic distal gastrectomy.
掲載誌名	正式名：Asian journal of endoscopic surgery 略　 称：Asian J Endosc Surg ISSNコード：17585910/17585902
掲載区分	国外
巻・号・頁	14(3),pp.640-643
著者・共著者	Kikuchi Satoru, Kuroda Shinji, Nishizaki Masahiko, Kuwada Kazuya, Takata Nobuo, Kakiuchi Yoshihiko, Yano Shuya, Noma Kazuhiro, Kagawa Shunsuke, Fujiwara Toshiyoshi
発行年月	2021/07
概要	INTRODUCTION:Intracorporeal Billroth I (B-I) reconstruction using an endoscopic linear stapler (ELS) is widely performed in total laparoscopic distal gastrectomy. However, conventional procedures require many ELSs for anastomosis. Here, we introduce the novel intracorporeal semi-hand-sewn (SHS) B-I reconstruction.MATERIALS AND SURGICAL TECHNIQUE:After the transection of stomach and duodenum using ELS following adequate lymph node dissection, small entry holes were made on the anterior wall in the greater curvature of the stomach and the duodenal stump. The posterior walls of both the remnant stomach and the duodenum were attached with the ELS and fired to create the posterior wall of the B-I anastomosis. All the transection line of the duodenum and one-third of the transection line of the stomach were dissected; finally the anterior wall suturing at the anastomotic site was performed by the laparoscopic hand-sewn technique.DISCUSSION:SHS procedure was performed for 17 gastric cancer patients. There were no intraoperative complications or conversions to open surgery. One intra-abdominal abscess was observed although there was no anastomotic leakage. The median reconstruction time was 48 minutes (32-63). The SHS procedure was safe, feasible, and economical, although it requires sufficient laparoscopic suturing and ligation skill.
DOI	10.1111/ases.12887
PMID	33111451