Department of General Surgery, Huashan Hospital, Fudan University, Shanghai, China.
J Surg Oncol. 2021 May;123 Suppl 1:S25-S29. doi: 10.1002/jso.26459. Epub 2021 Mar 17.
In 2016, the self-pulling and latter transection method (named "Delta SPLT"), a modified delta-shaped gastroduodenostomy (DA) technique for totally laparoscopic distal gastrectomy, was described. Delta SPLT reduced the technical difficulty of the surgery and the quantity of cartridges required with a manageable initial safety profile. Here, the safety and feasibility of this technique are analyzed at 1 year's follow-up.
The demographic and clinicopathologic profiles, perioperative details, and postoperative outcomes of 45 consecutive patients who underwent Delta SPLT from March 2016 to March 2019 were retrospectively analyzed. The Delta SPLT technique, which consisted of one endoscopic linear stapler and four cartridges each, was used for reconstruction in every case.
The mean operative time was 127.1 ± 38.2 min, including a reconstruction duration of 22.6 ± 7.2 min. There were no surgical or anastomotic complications. The mean postoperative stay duration was 5.8 ± 1.2 days, and the morbidity rate was 2.2% with one case of postoperative pneumonia.
The results at the one-year follow-up suggest that Delta SPLT is a safe and feasible procedure. Delta SPLT is characterized by fewer difficulties experienced during surgery, lower surgical costs, it is easy to practice, and it is beneficial for patients who are undergoing gastroduodenostomy.
2016 年，我们描述了一种改良的腹腔镜远端胃切除术中的全腹腔镜胃十二指肠吻合术（DA）技术，即自拉后切断法（命名为“Delta SPLT”）。Delta SPLT 降低了手术的技术难度和吻合器钉仓的使用数量，并且具有可管理的初始安全性。在此，我们分析了该技术在 1 年随访时的安全性和可行性。
回顾性分析了 2016 年 3 月至 2019 年 3 月期间接受 Delta SPLT 的 45 例连续患者的人口统计学和临床病理特征、围手术期细节和术后结果。Delta SPLT 技术包括一个内镜直线吻合器和每个吻合器四个钉仓，用于重建。
手术时间平均为 127.1±38.2 分钟，重建时间为 22.6±7.2 分钟。无手术或吻合口并发症。术后平均住院时间为 5.8±1.2 天，发病率为 2.2%，有 1 例术后肺炎。
1 年随访结果表明，Delta SPLT 是一种安全可行的手术方法。Delta SPLT 的特点是手术过程中难度较低、手术成本较低、易于操作，并且有利于行胃十二指肠吻合术的患者。
