Jiangxi Province Cancer Hospital, Nanchang, Jiangxi, China.
Can J Gastroenterol Hepatol. 2022 Jun 13;2022:2422274. doi: 10.1155/2022/2422274. eCollection 2022.
This study introduces a technique for esophagojejunostomy with half transected and self-pulling (HTSP) and evaluates the safety, feasibility, and clinical results of this technique in totally laparoscopic total gastrectomy (TLTG).
From May 2019 to March 2021, 42 patients (HTSP group) who underwent HTSP-TLTG surgery in the Department of Abdominal Tumor Surgery of Jiangxi Cancer Hospital were included in this study. The control group consisted of 50 patients undergoing conventional TLTG surgery (conventional anastomosis group) performed by the same surgical team from March 2018 to March 2020. The clinical data of the two groups were retrospectively analyzed and compared.
The mean operation time of the HTSP-TLTG surgery was 166.7 ± 13.1 minutes and the anastomosis time was 20.8 ± 2.0 minutes, which were significantly shorter than those of traditional TLTG ( < 0.05). There were no significant differences between the two groups in blood loss, time to first exhaust, postoperative hospital stay, and incidence of surgery-related complications.
HTSP is a safe and feasible way of endoscopic esophagojejunal anastomosis, which requires a relatively low suture technique under endoscopy, and is suitable for promotion.
本研究介绍了一种使用半切断和自牵引（HTSP）进行食管空肠吻合术的技术，并评估了该技术在完全腹腔镜全胃切除术（TLTG）中的安全性、可行性和临床效果。
自 2019 年 5 月至 2021 年 3 月，江西肿瘤医院腹部肿瘤外科共纳入 42 例接受 HTSP-TLTG 手术的患者（HTSP 组）。对照组由同一手术团队于 2018 年 3 月至 2020 年 3 月期间进行常规 TLTG 手术（常规吻合组）的 50 例患者组成。回顾性分析并比较两组患者的临床资料。
HTSP-TLTG 手术的平均手术时间为 166.7±13.1 分钟，吻合时间为 20.8±2.0 分钟，明显短于传统 TLTG（<0.05）。两组患者的出血量、首次排气时间、术后住院时间和手术相关并发症发生率均无显著差异。
HTSP 是一种安全可行的内镜食管空肠吻合术方法，需要相对较低的内镜下缝合技术，适合推广。
