Medical School of Ningbo University, Ningbo University, Zhejiang Province, Ningbo, 315211, China.
Department of Gastrointestinal Surgery, Ningbo First Hospital, Zhejiang Province, Ningbo, 315000, China.
J Gastrointest Surg. 2022 Mar;26(3):659-661. doi: 10.1007/s11605-021-05132-9. Epub 2021 Sep 20.
Pylorus-preserving gastrectomy (PPG) has been accepted as a representative function-preserving procedure for early gastric cancer (EGC) in the middle stomach. Totally, intracorporeal laparoscopic gastrectomy can provide better aesthetics, be less invasive, and allow faster postoperative recovery. Here, we first describe the surgical procedure of totally laparoscopic pylorus-preserving gastrectomy with intracorporeal hand-sewn anastomosis (TLPPG-IHSA).
After standard procedure of lymph node dissection and middle stomach resection, we used two double-needle barbed sutures to perform a layer-to-layer manual anastomosis of the anterior and posterior walls in the abdominal cavity. Twelve patients with preoperatively diagnosed clinical EGC located in the middle third of the stomach underwent TLPPG-IHSA between August 2019 and January 2021.
A total of 12 patients with EGC successfully underwent TLPPG-IHSA. Only one patient (8.3%) suffered postoperative gastric stasis. No complications or recurrence occurred in other patients during half a year after surgery.
TLPPG-IHSA is considered technically feasible to treat EGC located in the middle third of the stomach.
保留幽门的胃切除术（PPG）已被接受为治疗中胃早期胃癌（EGC）的一种有代表性的保留功能的手术。总的来说，全腹腔镜胃切除术可以提供更好的美容效果，创伤更小，并允许更快的术后恢复。在这里，我们首次描述了全腹腔镜保留幽门胃切除术联合腔内手工吻合术（TLPPG-IHSA）的手术步骤。
在标准的淋巴结清扫和中胃切除术后，我们使用两根双针带刺缝线在腹腔内进行前壁和后壁的层对层手工吻合。2019 年 8 月至 2021 年 1 月，12 例术前诊断为临床 EGC 位于中胃三分之一的患者接受了 TLPPG-IHSA 治疗。
共有 12 例 EGC 患者成功接受了 TLPPG-IHSA 治疗。仅 1 例（8.3%）患者发生术后胃潴留。术后半年内，其他患者无并发症或复发。
TLPPG-IHSA 被认为是治疗中胃三分之一 EGC 的一种技术可行的方法。
