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Laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: A case series
BACKGROUND: Intracorporeal reconstruction following laparoscopic proximal gastrectomy is technically challenging. The aim of this study was to investigate the use of knotless barbed absorbable sutures in esophagogastrostomy closure using the hinged double flap method. DESIGN & METHOD: The subject...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122145/ https://www.ncbi.nlm.nih.gov/pubmed/30172056 http://dx.doi.org/10.1016/j.ijscr.2018.08.041 |
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author | Saeki, Yoshihiro Tanabe, Kazuaki Yamamoto, Yuji Ohta, Hiroshi Saito, Ryusuke Ohdan, Hideki |
author_facet | Saeki, Yoshihiro Tanabe, Kazuaki Yamamoto, Yuji Ohta, Hiroshi Saito, Ryusuke Ohdan, Hideki |
author_sort | Saeki, Yoshihiro |
collection | PubMed |
description | BACKGROUND: Intracorporeal reconstruction following laparoscopic proximal gastrectomy is technically challenging. The aim of this study was to investigate the use of knotless barbed absorbable sutures in esophagogastrostomy closure using the hinged double flap method. DESIGN & METHOD: The subjects comprised patients with gastric cancer who were scheduled to undergo laparoscopic proximal gastrectomy. The V-Loc™ 180 wound closure device (V-Loc; Covidien, Mansfield, MA, USA) was used for all laparoscopic esophagogastrostomy closures. Between January 2015 and November 2016, 13 patients were enrolled. RESULTS: The mean suturing time was 109.6 min. Median hospital stay was 14 days. One anastomotic minor leakage occurred in an esophagogastrostomy and it was managed conservatively. Twelve of 13 patients did not exhibit any symptoms of reflux esophagitis. CONCLUSION: These results suggest the use of the unidirectional barbed absorbable suture is safe and produce reproducible results for esophagogastrostomy closure using the hinged double flap method. |
format | Online Article Text |
id | pubmed-6122145 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-61221452018-09-05 Laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: A case series Saeki, Yoshihiro Tanabe, Kazuaki Yamamoto, Yuji Ohta, Hiroshi Saito, Ryusuke Ohdan, Hideki Int J Surg Case Rep Article BACKGROUND: Intracorporeal reconstruction following laparoscopic proximal gastrectomy is technically challenging. The aim of this study was to investigate the use of knotless barbed absorbable sutures in esophagogastrostomy closure using the hinged double flap method. DESIGN & METHOD: The subjects comprised patients with gastric cancer who were scheduled to undergo laparoscopic proximal gastrectomy. The V-Loc™ 180 wound closure device (V-Loc; Covidien, Mansfield, MA, USA) was used for all laparoscopic esophagogastrostomy closures. Between January 2015 and November 2016, 13 patients were enrolled. RESULTS: The mean suturing time was 109.6 min. Median hospital stay was 14 days. One anastomotic minor leakage occurred in an esophagogastrostomy and it was managed conservatively. Twelve of 13 patients did not exhibit any symptoms of reflux esophagitis. CONCLUSION: These results suggest the use of the unidirectional barbed absorbable suture is safe and produce reproducible results for esophagogastrostomy closure using the hinged double flap method. Elsevier 2018-08-25 /pmc/articles/PMC6122145/ /pubmed/30172056 http://dx.doi.org/10.1016/j.ijscr.2018.08.041 Text en © 2018 The Author(s) http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Saeki, Yoshihiro Tanabe, Kazuaki Yamamoto, Yuji Ohta, Hiroshi Saito, Ryusuke Ohdan, Hideki Laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: A case series |
title | Laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: A case series |
title_full | Laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: A case series |
title_fullStr | Laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: A case series |
title_full_unstemmed | Laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: A case series |
title_short | Laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: A case series |
title_sort | laparoscopic proximal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: a case series |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122145/ https://www.ncbi.nlm.nih.gov/pubmed/30172056 http://dx.doi.org/10.1016/j.ijscr.2018.08.041 |
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