Application of a Novel Technique By Using Transoral Placement of Anvil and Intracorporeal Gastrojejunostomy for Proximal Or Total Gastrectomy.

Li Xiaoyang, MD PhD, Xu Dongsheng, MD, Yu Hong, MD. the first hospital of Harbin

Purpose:To evaluate the feasibility and outcome of laparoscopy-assisted gastrectomy (LAG)by using the novel technique of transoral placement of anvil and intracorporeal gastrojejunostomy(the OrVil system).
Materials and methods: A retrospective study of proximal or total gastrectomy from July 2008 to August 2011 was performed. 72 laparoscopy-assisted gastrectomy cases including 38 patients using the OrVil system and 34 patients using conventional method were enrolled in this study during the period.Operative time, blood loss, time to passage of flatus, postoperative hospital stay and complications were compared between the two groups.
Results:
Compared to the using conventional method group, operative time by using the OrVil system group was significantly shorter[(152.9±15.1) min vs.(210.8±35.3) min, P<0.05], blood loss was less[(94.3±46.5) ml vs. (121.0±26.4) ml, P<0.05], time to passage of flatus [(3.1±0.2) d vs.(3.5±0.4) d, P>0.05], postoperative hospital stay [(6.8±1.2) d vs. (7.4±1.8) d, P>0.05]. There was no anastomotic leakage or mortality during the early stages of the present study in the OrVil system group.
Conclusions: It is believed that innovation of OrVil technique could bring us safer alternative reconstruction with better efficiency and quality for laparoscopic Roux-en-Y reconstruction.

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