A Novel Technique of Hand-Sewn Purse-String Suturing by Double Ligation Method (DLM) for Intracorporeal Circular Esophagojejunostomy.

Conclusions: Our procedure for hand-sewn purse-string suturing with the double ligation method is simple and safe. PMID: 31598372 [PubMed]
Source: Journal of Gastric Cancer - Category: Gastroenterology Tags: J Gastric Cancer Source Type: research

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ConclusionsEarly feeding and discharge for total or proximal gastrectomy is feasible and safe as long as it is carefully applied to high-risk patients, but we must be aware of the relatively higher readmission rate of this patient group.
Source: Annals of Surgical Oncology - Category: Cancer & Oncology Source Type: research
Laparoscopic sleeve gastrectomy (LSG) affords patients excellent long term excess weight loss; however, one of the primary problems reported with this procedure is new onset or worsening gastro-esophageal reflux (GERD). Studies show the rate of de novo reflux after LSG to be 47.8%. Long-term GERD portends poor quality of life and increases the risk of esophageal cancer. We propose modifying the LSG by reattaching the omentum to the “new” greater portion of the sleeve stomach reduces the incidence of GERD by restoring natural anatomy.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
Abstract BACKGROUND: Laparoscopy-assisted pylorus-preserving gastrectomy (LAPPG) was known to have benefits of function-preserving surgery compared to laparoscopy-assisted distal gastrectomy (LADG). However, in clinical settings, delayed gastric emptying and esophageal reflux following LAPPG can be serious issues, making surgeons reluctant to perform LAPPG. It is unclear that LAPPG had better long-term functional outcomes and quality of life compared to LADG. AIM: To evaluate the long-term functional outcomes and patient-reported quality of life of LAPPG compared to those of LADG. METHODS: We reviewed th...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
AbstractProximal gastrectomy should improve the late postoperative function in patients with gastric cancer located in the upper third of the stomach or esophagogastric junction. However, a standard method of esophagogastrostomy has not been established for improving the postoperative function. To prevent reflux and stenosis following proximal gastrectomy, we introduced a novel esophagogastrostomy method using a knifeless linear stapler. The stapler was inserted into holes created in both the esophagus and remnant stomach and fired proximally. A 1.5-cm incision was made from the edge of the entry hole between the staples. ...
Source: Surgery Today - Category: Surgery Source Type: research
n R Abstract The updated German S3 guidelines recommend transthoracic subtotal esophagectomy with 2‑field lymphadenectomy for surgical treatment of esophageal cancer in patients with squamous cell carcinoma and adenocarcinoma of the esophagogastric (AEG type I) junction of the middle and lower third. For AEG type III transhiatal extended total gastrectomy with distal esophageal resection is favored. Patients with AEG type II can be treated by both procedures under the prerequisite that an R0 resection can be achieved. A limited resection of the distal esophagus and the proximal stomach can on...
Source: Der Chirurg - Category: Surgery Authors: Tags: Chirurg Source Type: research
ConclusionsThis study represents the first prospective feasibility evaluation of sentinel lymph node sampling for early gastric cancer in North America with promising preliminary results. The dual tracer method was superior to single agent blue dye in identifying sentinel nodal basins. Considerable further study is necessary to verify the safety and utility of SLN mapping in North American patients with early gastric adenocarcinoma.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
ConclusionsWe herein report our procedure for intracorporeal EJS using a linear stapler and barbed sutures. This technique is simple and feasible and has acceptable morbidity.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Authors: Kobayashi J, Fujimoto D, Murakami M, Hirono Y, Goi T Abstract The present case study reported of amelanotic malignant melanoma of the esophagus. A 68-year-old man underwent laparoscopic distal gastrectomy for early gastric cancer diagnosis. After gastrectomy, endoscopic examination revealed a protruded lesion lying adjacent to the melanosis area of the esophagus. Histology of the biopsy specimen suggested malignancy, but the diagnosis could not be made. The patient underwent trans-thoraco-abdominal curative subtotal esophagectomy. Immunohistochemical examination of the resected specimen was negative for HB...
Source: Oncology Letters - Category: Cancer & Oncology Tags: Oncol Lett Source Type: research
ConclusionRegarding short-term surgical outcomes, this procedure is recommended for GC patients who undergo RTG. However, more long-term follow-up for patients who have undergone RTG with closure of all mesenteric defects is required.
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
ConclusionsPreserving CBVN in LPPG for early gastric cancer is a feasible procedure. However, no clinical benefits of the preservation of the CBVN after LPPG are identified.
Source: Gastric Cancer - Category: Gastroenterology Source Type: research
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