Application of delta-shaped anastomosis in totally laparoscopic distal gastrectomy

Abstract

Objective To observe the technical feasibility and safety of delta-shaped(DS)anastomosis in totally laparoscopic distal gastrectomy(TLDG). Methods A retrospective analysis of 9 cases underwent TLDG with D2 lymphadenectomy and DS anastomosis. Results All the patients underwent TLDG with D2 lymphadenectomy and DS anastomosis successfully by the same doctor and his team. The total operative time was(178±43)minutes, and the DS anastomosis time was(32±8)minutes. All the patients achieved microscopic cancer-free margin and the number of lymph nodes harvested was(27±8)per patient. The average time to flatus,time to fluid diet were(3.8±1.7)days and (3.9±1.8)days respectivly. One patient developed to fat liquefaction of incision, and one developed to urinary tract infection after the operation.No anastomotic bleeding, anastomotic leakage, anastomotic stenosis or other anastomotic complications happened among all patients. Conclusion DS anastomosis is safe and convenient.It is an ideal choice for reconstruction in TLDG with D2 lymphadenectomy. Key words: Stomach neoplasms; Laparoscopy; Delta-shaped anastomosis; Safty