Modified esophagogastrostomy in laparoscopy‐assisted proximal gastrectomy: A reverse‐Tornado anastomosis

• Published in: Asian journal of endoscopic surgery Vol. 10; no. 1; pp. 12 - 16
• Main Authors: Kubota, Keisuke, Suzuki, Akihiro, Fujikawa, Aoi, Watanabe, Takayuki, Sekido, Yuki, Shiozaki, Hironori, Taketa, Takashi, Shimada, Gen, Ohigashi, Seiji, Sakurai, Shintaro, Kishida, Akihiro
• Format: Journal Article
• Language: English
• Published: Japan Wiley Subscription Services, Inc 01.02.2017
• Subjects: Aged; Anastomosis, Surgical; Blood Loss, Surgical - statistics & numerical data; Esophagogastrostomy; Esophagus - surgery; Female; Gastrectomy - methods; Humans; Laparoscopy - methods; laparoscopy‐assisted proximal gastrectomy; Length of Stay - statistics & numerical data; Male; mechanical staplers; Middle Aged; Operative Time; Postoperative Complications - epidemiology; Retrospective Studies; Stomach - surgery; Stomach Neoplasms - surgery; Treatment Outcome; mechanical staplers; laparoscopy-assisted proximal gastrectomy; Esophagogastrostomy
• ISSN: 1758-5902; 1758-5910
• DOI: 10.1111/ases.12335

Introduction The aim of this study was to introduce and examine a modified mechanical end‐to‐side esophagogastrostomy method (“reverse‐Tornado" anastomosis) in laparoscopy‐assisted proximal gastrectomy. Methods Five patients with gastric cancer who underwent laparoscopy‐assisted proximal gastrectomy were analyzed retrospectively. Esophagogastrostomy in the anterior wall was performed in three patients, and esophagogastrostomy in the posterior wall was performed in two patients. Clinicopathological features, operative outcomes (operative time, operative blood loss), and postoperative outcomes (complications, postoperative hospital stay, reflux esophagitis) were evaluated. Results Operative time was normal (278 min). There was no marked operative blood loss, postoperative complications, prolonged hospital stay, or reflux esophagitis. Conclusion Esophagogastrostomy was completed in a normal time with reverse‐Tornado anastomosis. This method can be safe and can enable good postoperative quality of life.