Saeki Yoshihiro, Tanabe Kazuaki, Yamamoto Yuji, Ohta Hiroshi, Saito Ryusuke, Ohdan Hideki
Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical & Health Science, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan.
Int J Surg Case Rep. 2018;51:165-169. doi: 10.1016/j.ijscr.2018.08.041. Epub 2018 Aug 25.
Intracorporeal reconstruction following laparoscopic proximal gastrectomy is technically challenging. The aim of this study was to investigate the use of knotless barbed absorbable sutures in esophagogastrostomy closure using the hinged double flap method.
DESIGN & METHOD: The subjects comprised patients with gastric cancer who were scheduled to undergo laparoscopic proximal gastrectomy. The V-Loc™ 180 wound closure device (V-Loc; Covidien, Mansfield, MA, USA) was used for all laparoscopic esophagogastrostomy closures. Between January 2015 and November 2016, 13 patients were enrolled.
The mean suturing time was 109.6 min. Median hospital stay was 14 days. One anastomotic minor leakage occurred in an esophagogastrostomy and it was managed conservatively. Twelve of 13 patients did not exhibit any symptoms of reflux esophagitis.
These results suggest the use of the unidirectional barbed absorbable suture is safe and produce reproducible results for esophagogastrostomy closure using the hinged double flap method.
腹腔镜近端胃切除术后的体内重建技术具有挑战性。本研究的目的是探讨使用无结倒刺可吸收缝线，采用铰链双瓣法进行食管胃吻合口闭合。
研究对象为计划接受腹腔镜近端胃切除术的胃癌患者。所有腹腔镜食管胃吻合口闭合均使用V-Loc™ 180伤口闭合装置（V-Loc；美国科惠医疗公司，马萨诸塞州曼斯菲尔德）。2015年1月至2016年11月，共纳入13例患者。
平均缝合时间为109.6分钟。中位住院时间为14天。1例食管胃吻合口出现轻微漏出，经保守治疗。13例患者中有12例未出现反流性食管炎症状。
这些结果表明，使用单向倒刺可吸收缝线进行铰链双瓣法食管胃吻合口闭合是安全的，且结果可重复。
