Application of modified bundled reverse puncture esophagojeju-nostomy in laparoscopic radical total gastrectomy
Objective To investigate the clinical value of modified bundled reverse puncture esophagojeju-nostomy in laparoscopic radical total gastrectomy.Methods A total of 182 patients underwent laparoscopic radical total gastrectomy using the modified bundled reverse puncture method for esophagojejunostomy.The jejunum and stapler were securely fastened with a self-made rubber band sequipped with traction lines,while the end-to-side anastomosis of the esophagus was performed using the conventional reverse puncture method to accomplish the esophagojejunostomy.The clinical indicators were subsequently observed.Results All 182 cases were successfully completed with no intermediate openings.Operation time(196.2±22.4)min;incision length(3.89±1.23)cm;length of proximal esophagus(3.78±0.56)cm;nailseat placement time(9.20±2.40)min;intraoperative bleeding volume(56.20±22.40)mL.There were 3 cases of postoperative anastomotic leakage,3 cases of anastomotic bleeding,2 cases of incisional infection,and 5 cases of anastomotic stenosis;182 cases were followed up for 8 to 36 months,with an average of 20.6 months,with 2 cases having had anas-tomotic recurrence.Conclusion The modified bundled reverse puncture anastomosis technique demonstrates notable safety and feasibility in laparoscopic radical total gastrectomy,with significant clinical efficacy,there-by warranting its widespread adoption inclinical practice.
gastric cancerbindled reverse punctureesophagus-jejunal anastomosislaparoscopyradical total gastrectomy
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