[A modified method of laparoscopic side-to-side esophagojejunal anastomosis after laparoscopic total gastrectomy: a report of 12 cases].
OBJECTIVE
To explore the method of alimentary reconstruction after laparoscopic total gastrectomy.


METHODS
The clinical data of 12 patients undergone laparoscopic total gastrectomy and side- to- side esophagojejunal anastomosis from Feb. 2006 to Oct. 2006 were analyzed retrospectively.


RESULTS
Laparoscopic side- to- side esophagojejunal anastomosis was successfully performed in 12 patients. The mean operation time was (247.0+/- 13.1) min and the anastomosis time was (43.5+/- 10.4) min. Bleeding volume during operation was (107.5+/- 44.9)ml. The distance between anastomosis and proximal margin of tumor was (3.4+/- 1.2)cm. There was no postoperative death, fistula or anastomotic stenosis occurred after short- term follow- up.


CONCLUSIONS
The modified laparoscopic side- to- side esophagojejunal anastomosis is a safe, less challenging and more economic method of alimentary reconstruction after laparoscopic total gastrectomy.
Department of General Surgery, Center of Microinvasive Gastrointestinal Surgery, Southwest Hospital, The Third Military Medical University, Chongqing 400038, China.
Zi-qiang
ZQ
Wang
Pei-wu
PW
Yu
Feng
F
Qian
Jun
J
Chen
Hua-xing
HX
Luo
Xiao
X
Lei
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*