Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes

Xian-Tu Qiu; Chang-Yue Zheng; Ya-lun Liang; Long-Zhi Zheng; Bin Zu; Han-he Chen; Zhi-Yong Dong; Li-mei Zhu; Wei Lin

doi:10.5114/wiitm.2022.113568

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes

Xian-Tu Qiu

¹

,

Chang-Yue Zheng

¹

,

Ya-lun Liang

²

,

Long-Zhi Zheng

¹

,

Bin Zu

¹

,

Han-he Chen

¹

,

Zhi-Yong Dong

²

,

Li-mei Zhu

¹

,

Wei Lin

^{1, 3}

Department of Gastrointestinal Surgery and Gastrointestinal Surgery Research Institute, The Affiliated Hospital of Putian University, Putian, Fujian, China
Department of Gastrointestinal Surgery, The First Affiliated Hospital of Jinan University, Guangzhou, China
The School of Clinical Medicine, Fujian Medical University, University Town, Fuzhou, Fujian, China

Videosurgery Miniinv 2022; 17 (2): 352–364

DOI: https://doi.org/10.5114/wiitm.2022.113568

Online publish date: 2022/02/18

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AMA

Qiu X, Zheng C, Liang Y, et al. Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes. Videosurgery and Other Miniinvasive Techniques. 2022:352-364. doi:10.5114/wiitm.2022.113568.

APA

Qiu, X., Zheng, C., Liang, Y., Zheng, L., Zu, B.,  & Chen, H. et al. (2022). Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes. Videosurgery and Other Miniinvasive Techniques, 352-364. https://doi.org/10.5114/wiitm.2022.113568

Chicago

Qiu, Xian-Tu, Chang-Yue Zheng, Ya-lun Liang, Long-Zhi Zheng, Bin Zu, Han-he Chen,  and Zhi-Yong Dong et al. 2022. "Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes". Videosurgery and Other Miniinvasive Techniques: 352-364. doi:10.5114/wiitm.2022.113568.

Harvard

Qiu, X., Zheng, C., Liang, Y., Zheng, L., Zu, B., Chen, H., Dong, Z., Zhu, L.,  and Lin, W. (2022). Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes. Videosurgery and Other Miniinvasive Techniques, pp.352-364. https://doi.org/10.5114/wiitm.2022.113568

MLA

Qiu, Xian-Tu et al. "Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes." Videosurgery and Other Miniinvasive Techniques, 2022, pp. 352-364. doi:10.5114/wiitm.2022.113568.

Vancouver

Qiu X, Zheng C, Liang Y, Zheng L, Zu B, Chen H et al. Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes. Videosurgery and Other Miniinvasive Techniques. 2022:352-364. doi:10.5114/wiitm.2022.113568.

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Introduction
With the development of minimally invasive surgery in recent years, totally laparoscopic total gastrectomy (TLTG) has attracted more attention.

Aim
To introduce the more comprehensive “enjoyable space” approach coupled with the self-pulling and latter transaction (SPLT) reconstruction technique to perform TLTG and investigate its safety and feasibility.

Material and methods
Ninety-seven patients with primary upper gastric cancer underwent laparoscopic radical total gastrectomy between January 2020 and December 2020. Among these patients, 46 underwent laparoscopic-assisted total gastrectomy (LATG), and 51 underwent TLTG. We compared the clinicopathological characteristics, surgical outcomes and postoperative complications between the two groups.

Results
There were no significant differences in the clinicopathological characteristics between the two groups (p > 0.05). However, the TLTG group had a slightly lower mean operative time and mean blood loss than the LATG group (p < 0.05 each). Although there were similarities in the mean times to first flatus, liquid diet, and soft diet, the duration of hospital stay was significantly reduced in the TLTG group (p < 0.05). No significant differences in overall complications and E-J-related complications were found between the two groups (15.2% vs. 25.4%, p > 0.05).

Conclusions
TLTG is a safe and feasible procedure for treating upper gastric cancer. The enjoyable space approach in conjunction with SPLT reconstruction is an appropriate comprehensive technique with several advantages over LATG.

keywords:

Totally laparoscopic total gastrectomy using the “enjoyable space” approach coupled with self-pulling and latter transection reconstruction versus laparoscopic-assisted total gastrectomy for upper gastric cancer: short-term outcomes

Xian-Tu Qiu 1 , Chang-Yue Zheng 1 , Ya-lun Liang 2 , Long-Zhi Zheng 1 , Bin Zu 1 , Han-he Chen 1 , Zhi-Yong Dong 2 , Li-mei Zhu 1 , Wei Lin 1, 3

gastric cancer, laparoscopic surgery, complete mesogastrium excision, “enjoyable space” approach, self-pulling and latter transaction

Xian-Tu Qiu

¹

,

Chang-Yue Zheng

¹

,

Ya-lun Liang

²

,

Long-Zhi Zheng

¹

,

Bin Zu

¹

,

Han-he Chen

¹

,

Zhi-Yong Dong

²

,

Li-mei Zhu

¹

,

Wei Lin

^{1, 3}