DOI QR코드

DOI QR Code

Intracorporeal Anastomosis in Laparoscopic Gastric Cancer Surgery

  • 투고 : 2012.07.12
  • 심사 : 2012.07.18
  • 발행 : 2012.09.30

초록

Laparoscopic gastrectomy has become widely used as a minimally invasive technique for the treatment of gastric cancer. When it was first introduced, most surgeons preferred a laparoscopic-assisted approach with a minilaparotomy rather than a totally laparoscopic procedure because of the technical challenges of achieving an intracorporeal anastomosis. Recently, with improved skills and instruments, several surgeons have reported the safety and feasibility of a totally laparoscopic gastrectomy with intracorporeal anastomosis. This review describes the recent technical advances in intracorporeal anastomoses using circular and linear staplers that allow for totally laparoscopic distal, total, and proximal gastrectomies. Data that demonstrate advantages in early surgical outcomes of a total laparoscopic method compared to laparoscopic-assisted operations are also discussed.

키워드

참고문헌

  1. Goh P, Tekant Y, Isaac J, Kum CK, Ngoi SS. The technique of laparoscopic Billroth II gastrectomy. Surg Laparosc Endosc 1992;2:258-260.
  2. Kim MC, Kim KH, Kim HH, Jung GJ. Comparison of laparoscopy- assisted by conventional open distal gastrectomy and extraperigastric lymph node dissection in early gastric cancer. J Surg Oncol 2005;91:90-94. https://doi.org/10.1002/jso.20271
  3. Shiraishi N, Yasuda K, Kitano S. Laparoscopic gastrectomy with lymph node dissection for gastric cancer. Gastric Cancer 2006;9:167-176. https://doi.org/10.1007/s10120-006-0380-9
  4. Kim HH, Kim KH, Kim DH, Kim C, Kim BS, Kim YW, et al; Korean Laparoscopic Gastrointestinal Surgery Study Group. Nationwide survey of laparoscopic gastric surgery in Korea, 2004. J Korean Gastric Cancer Assoc 2005;5:295-303.
  5. Kim JJ, Song KY, Chin HM, Kim W, Jeon HM, Park CH, et al. Totally laparoscopic gastrectomy with various types of intracorporeal anastomosis using laparoscopic linear staplers: preliminary experience. Surg Endosc 2008;22:436-442. https://doi.org/10.1007/s00464-007-9446-y
  6. Kanaya S, Gomi T, Momoi H, Tamaki N, Isobe H, Katayama T, et al. Delta-shaped anastomosis in totally laparoscopic Billroth I gastrectomy: new technique of intraabdominal gastroduodenostomy. J Am Coll Surg 2002;195:284-287. https://doi.org/10.1016/S1072-7515(02)01239-5
  7. Kanaya S, Kawamura Y, Kawada H, Iwasaki H, Gomi T, Satoh S, et al. The delta-shaped anastomosis in laparoscopic distal gastrectomy: analysis of the initial 100 consecutive procedures of intracorporeal gastroduodenostomy. Gastric Cancer 2011;14:365-371. https://doi.org/10.1007/s10120-011-0054-0
  8. Kinoshita T, Shibasaki H, Oshiro T, Ooshiro M, Okazumi S, Katoh R. Comparison of laparoscopy-assisted and total laparoscopic Billroth-I gastrectomy for gastric cancer: a report of short-term outcomes. Surg Endosc 2011;25:1395-1401. https://doi.org/10.1007/s00464-010-1402-6
  9. Kim MG, Kawada H, Kim BS, Kim TH, Kim KC, Yook JH, et al. A totally laparoscopic distal gastrectomy with gastroduodenostomy (TLDG) for improvement of the early surgical outcomes in high BMI patients. Surg Endosc 2011;25:1076-1082. https://doi.org/10.1007/s00464-010-1319-0
  10. Kim MG, Kim KC, Kim BS, Kim TH, Kim HS, Yook JH, et al. A totally laparoscopic distal gastrectomy can be an effective way of performing laparoscopic gastrectomy in obese patients (body mass index${\geq}$30). World J Surg 2011;35:1327-1332. https://doi.org/10.1007/s00268-011-1034-6
  11. Song KY, Park CH, Kang HC, Kim JJ, Park SM, Jun KH, et al. Is totally laparoscopic gastrectomy less invasive than laparoscopy- assisted gastrectomy?: prospective, multicenter study. J Gastrointest Surg 2008;12:1015-1021. https://doi.org/10.1007/s11605-008-0484-0
  12. Tanimura S, Higashino M, Fukunaga Y, Takemura M, Nishikawa T, Tanaka Y, et al. Intracorporeal Billroth 1 reconstruction by triangulating stapling technique after laparoscopic distal gastrectomy for gastric cancer. Surg Laparosc Endosc Percutan Tech 2008;18:54-58. https://doi.org/10.1097/SLE.0b013e3181568e63
  13. Omori T, Tanaka K, Tori M, Ueshima S, Akamatsu H, Nishida T. Intracorporeal circular-stapled Billroth I anastomosis in single-incision laparoscopic distal gastrectomy. Surg Endosc 2012;26:1490-1494. https://doi.org/10.1007/s00464-011-2034-1
  14. Kojima K, Yamada H, Inokuchi M, Kawano T, Sugihara K. A comparison of Roux-en-Y and Billroth-I reconstruction after laparoscopy-assisted distal gastrectomy. Ann Surg 2008;247:962-967. https://doi.org/10.1097/SLA.0b013e31816d9526
  15. Fischer JE, Bland KI, Callery MP, eds. Mastery of Surgery. Philadelphia: Lippincott Williams & Wilkins, 2007.
  16. Uyama I, Sakurai Y, Komori Y, Nakamura Y, Syoji M, Tonomura S, et al. Laparoscopy-assisted uncut Roux-en-Y operation after distal gastrectomy for gastric cancer. Gastric Cancer 2005;8:253-257. https://doi.org/10.1007/s10120-005-0344-5
  17. Noshiro H, Ohuchida K, Kawamoto M, Ishikawa M, Uchiyama A, Shimizu S, et al. Intraabdominal Roux-en-Y reconstruction with a novel stapling technique after laparoscopic distal gastrectomy. Gastric Cancer 2009;12:164-169. https://doi.org/10.1007/s10120-009-0520-0
  18. Choi YY, Kim YJ. Intracorporeal anastomosis using a Lapra-ty clip in laparoscopic distal gastrectomy: initial clinical experiences. J Laparoendosc Adv Surg Tech A 2011;21:51-55. https://doi.org/10.1089/lap.2010.0343
  19. Bouras G, Lee SW, Nomura E, Tokuhara T, Nitta T, Yoshinaka R, et al. Surgical outcomes from laparoscopic distal gastrectomy and Roux-en-Y reconstruction: evolution in a totally intracorporeal technique. Surg Laparosc Endosc Percutan Tech 2011;21:37-41. https://doi.org/10.1097/SLE.0b013e3182073fdb
  20. Ohashi M, Iwanaga T, Ohinata R, Kanda T, Iwasaki Y. A novel procedure for Roux-en-Y reconstruction following laparoscopy- assisted distal gastrectomy: transoral placement of anvil and intracorporeal gastrojejunostomy via umbilical minilaparotomy. Gastric Cancer 2011;14:188-193. https://doi.org/10.1007/s10120-011-0013-9
  21. Omori T, Oyama T, Akamatsu H, Tori M, Ueshima S, Nakahara M, et al. A simple and safe method for gastrojejunostomy in laparoscopic distal gastrectomy using the hemidouble-stapling technique: efficient purse-string stapling technique. Dig Surg 2009;26:441-445. https://doi.org/10.1159/000239760
  22. Caygill CP, Hill MJ, Kirkham JS, Northfield TC. Mortality from gastric cancer following gastric surgery for peptic ulcer. Lancet1986;1:929-931.
  23. Lundegardh G, Adami HO, Helmick C, Zack M, Meirik O. Stomach cancer after partial gastrectomy for benign ulcer disease. N Engl J Med 1988;319:195-200. https://doi.org/10.1056/NEJM198807283190402
  24. Lee HW, Kim HI, An JY, Cheong JH, Lee KY, Hyung WJ, et al. Intracorporeal anastomosis using linear stapler in laparoscopic distal gastrectomy: comparison between gastroduodenostomy and gastrojejunostomy. J Gastric Cancer 2011;11:212-218. https://doi.org/10.5230/jgc.2011.11.4.212
  25. Du J, Shuang J, Li J, Zhao Q, Hong L, Du X, et al. Totally laparoscopic Billroth II gastrectomy with a novel, safe, simple, and time-saving anastomosis by only stapling devices. J Gastrointest Surg 2012;16:738-743. https://doi.org/10.1007/s11605-011-1796-z
  26. Uyama I, Sugioka A, Fujita J, Komori Y, Matsui H, Hasumi A. Laparoscopic total gastrectomy with distal pancreatosplenectomy and D2 lymphadenectomy for advanced gastric cancer. Gastric Cancer 1999;2:230-234. https://doi.org/10.1007/s101200050069
  27. Okabe H, Obama K, Tanaka E, Nomura A, Kawamura J, Nagayama S, et al. Intracorporeal esophagojejunal anastomosis after laparoscopic total gastrectomy for patients with gastric cancer. Surg Endosc 2009;23:2167-2171. https://doi.org/10.1007/s00464-008-9987-8
  28. Inaba K, Satoh S, Ishida Y, Taniguchi K, Isogaki J, Kanaya S, et al. Overlap method: novel intracorporeal esophagojejunostomy after laparoscopic total gastrectomy. J Am Coll Surg 2010;211:e25-29. https://doi.org/10.1016/j.jamcollsurg.2010.09.005
  29. Bracale U, Marzano E, Nastro P, Barone M, Cuccurullo D, Cutini G, et al. Side-to-side esophagojejunostomy during totally laparoscopic total gastrectomy for malignant disease: a multicenter study. Surg Endosc 2010;24:2475-2479. https://doi.org/10.1007/s00464-010-0988-z
  30. Tsujimoto H, Uyama I, Yaguchi Y, Kumano I, Takahata R, Matsumoto Y, et al. Outcome of overlap anastomosis using a linear stapler after laparoscopic total and proximal gastrectomy. Langenbecks Arch Surg 2012;397:833-840. https://doi.org/10.1007/s00423-012-0939-3
  31. Usui S, Nagai K, Hiranuma S, Takiguchi N, Matsumoto A, Sanada K. Laparoscopy-assisted esophagoenteral anastomosis using endoscopic purse-string suture instrument "Endo-PSI (II)" and circular stapler. Gastric Cancer 2008;11:233-237. https://doi.org/10.1007/s10120-008-0481-8
  32. Kunisaki C, Makino H, Oshima T, Fujii S, Kimura J, Takagawa R, et al. Application of the transorally inserted anvil (OrVil) after laparoscopy-assisted total gastrectomy. Surg Endosc 2011;25:1300-1305. https://doi.org/10.1007/s00464-010-1367-5
  33. Jeong O, Park YK. Intracorporeal circular stapling esophagojejunostomy using the transorally inserted anvil (OrVil) after laparoscopic total gastrectomy. Surg Endosc 2009;23:2624-2630. https://doi.org/10.1007/s00464-009-0461-z
  34. Kinoshita T, Oshiro T, Ito K, Shibasaki H, Okazumi S, Katoh R. Intracorporeal circular-stapled esophagojejunostomy using hand-sewn purse-string suture after laparoscopic total gastrectomy. Surg Endosc 2010;24:2908-2912. https://doi.org/10.1007/s00464-010-1041-y
  35. So KO, Park JM. Totally laparoscopic total gastrectomy using intracorporeally hand-sewn esophagojejunostomy. J Gastric Cancer 2011;11:206-211. https://doi.org/10.5230/jgc.2011.11.4.206
  36. Uyama I, Sugioka A, Fujita J, Komori Y, Matsui H, Hasumi A. Completely laparoscopic proximal gastrectomy with jejunal interposition and lymphadenectomy. J Am Coll Surg 2000;191:114-119. https://doi.org/10.1016/S1072-7515(00)00283-0
  37. Uyama I, Sugioka A, Matsui H, Fujita J, Komori Y, Hatakawa Y, et al. Laparoscopic side-to-side esophagogastrostomy using a linear stapler after proximal gastrectomy. Gastric Cancer 2001;4:98-102. https://doi.org/10.1007/PL00011731
  38. Sakuramoto S, Yamashita K, Kikuchi S, Futawatari N, Katada N, Moriya H, et al. Clinical experience of laparoscopy-assisted proximal gastrectomy with Toupet-like partial fundoplication in early gastric cancer for preventing reflux esophagitis. J Am Coll Surg 2009;209:344-351. https://doi.org/10.1016/j.jamcollsurg.2009.04.011
  39. Tonouchi H, Mohri Y, Tanaka K, Kobayashi M, Kusunoki M. Hemidouble stapling for esophagogastrostomy during laparoscopically assisted proximal gastrectomy. Surg Laparosc Endosc Percutan Tech 2006;16:242-244. https://doi.org/10.1097/00129689-200608000-00009
  40. Hiki N, Fukunaga T, Yamaguchi T, Nunobe S, Tokunaga M, Ohyama S, et al. Laparoscopic esophagogastric circular stapled anastomosis: a modified technique to protect the esophagus. Gastric Cancer 2007;10:181-186. https://doi.org/10.1007/s10120-007-0433-8

피인용 문헌

  1. Totally Laparoscopic Surgery for Gastric Cancer vol.13, pp.1, 2013, https://doi.org/10.5230/jgc.2013.13.1.1
  2. Laparoscopic Surgery for Advanced Gastric Cancer: Current Status and Future Perspectives vol.13, pp.1, 2012, https://doi.org/10.5230/jgc.2013.13.1.19
  3. Totally Laparoscopic Distal Gastrectomy after Learning Curve Completion: Comparison with Laparoscopy-Assisted Distal Gastrectomy vol.13, pp.1, 2012, https://doi.org/10.5230/jgc.2013.13.1.26
  4. Impact of NPM, TFF3 and TACC1 on the Prognosis of Patients with Primary Gastric Cancer vol.8, pp.12, 2013, https://doi.org/10.1371/journal.pone.0082136
  5. Safety and feasibility during the initial learning process of intracorporeal Billroth I (delta-shaped) anastomosis for laparoscopic distal gastrectomy vol.29, pp.6, 2012, https://doi.org/10.1007/s00464-014-3836-8
  6. Modified intracorporeal gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: early experience vol.89, pp.6, 2012, https://doi.org/10.4174/astr.2015.89.6.306
  7. Linear-shaped gastroduodenostomy (LSGD): safe and feasible technique of intracorporeal Billroth I anastomosis vol.30, pp.10, 2012, https://doi.org/10.1007/s00464-016-4783-3
  8. Minimally invasive surgery for upper gastrointestinal cancer: Our experience and review of the literature vol.22, pp.19, 2016, https://doi.org/10.3748/wjg.v22.i19.4626
  9. Laparoscopic gastric cancer surgery: Current evidence and future perspectives vol.22, pp.2, 2016, https://doi.org/10.3748/wjg.v22.i2.727
  10. Totally laparoscopic gastrectomy using intracorporeally stapler or hand-sewn anastomosis for gastric cancer: a single-center experience of 478 consecutive cases and outcomes vol.14, pp.None, 2016, https://doi.org/10.1186/s12957-016-0868-7
  11. Esophagojejunostomy With Linear Staplers in Laparoscopic Total Gastrectomy: Experience With 168 Cases in 5 Consecutive Years vol.27, pp.5, 2017, https://doi.org/10.1097/sle.0000000000000464
  12. Short-term surgical outcomes of laparoscopy-assisted versus totally laparoscopic Billroth-II gastrectomy for gastric cancer: a matched-cohort study vol.17, pp.None, 2012, https://doi.org/10.1186/s12893-017-0245-7
  13. Effect of Standardizing the Incision Line on Delayed Gastric Emptying After Laparoscopic Gastrectomy: A Retrospective Preliminary Analysis vol.105, pp.1, 2012, https://doi.org/10.9738/intsurg-d-16-00062.1
  14. Preventive procedure for stenosis after esophagojejunostomy using a circular stapler and transorally inserted anvil (OrVil™) following laparoscopic proximal gastrectomy and total gastrectomy inv vol.21, pp.1, 2012, https://doi.org/10.1186/s12893-021-01054-0