Comparison of Clinical Outcomes Between Delta-Shaped and Circular Anastomoses After Laparoscopic Distal Gastrectomy

IF 0.9 Q4 ORTHOPEDICS Asian Journal of Endoscopic Surgery Pub Date : 2024-12-30 DOI:10.1111/ases.70014

Takanobu Yamada, Shinsuke Nagasawa, Kyohei Kanematsu, Junya Morita, Shizune Onuma, Mie Tanabe, Yuta Nakayama, Manabu Shiozawa, Naoto Yamamoto, Takashi Ogata, Takashi Oshima

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Abstract

Introduction

Laparoscopic distal gastrectomy (LDG) is the standard treatment for gastric cancer, during which the laparoscopic Billroth I anastomosis technique, also known as the delta-shaped anastomosis (DA), is widely performed. This study aimed to evaluate the differences in short- and long-term symptoms between DA and traditional circular anastomosis (CA) techniques.

Methods

We retrospectively compared DA and CA procedures in patients undergoing LDG and subsequent reconstruction using the Billroth I method at the Kanagawa Cancer Center from 2017 to 2022.

Results

Other than blood loss, no significant differences were observed in the short-term outcomes between the two groups. However, 1-year post-surgery, the DA group had a higher incidence of diarrhea, lower incidence of remnant gastritis, and higher weight loss than the CA group.

Conclusion

Both DA and CA techniques were similar in terms of safety. However, the DA group had a higher incidence of diarrhea and a lower incidence of remnant gastritis than the CA group 1-year after surgery.

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腹腔镜胃远端切除术后三角型吻合器与圆形吻合器的临床效果比较。

引言：腹腔镜胃远端切除术（LDG）是胃癌的标准治疗方法，腹腔镜Billroth I型吻合技术，又称三角形吻合（DA）被广泛应用。本研究旨在评估DA与传统环形吻合（CA）技术在短期和长期症状上的差异。方法：我们回顾性比较了2017年至2022年神奈川癌症中心接受LDG并随后使用Billroth I法重建的患者的DA和CA手术。结果：除失血量外，两组短期疗效无显著差异。然而，术后1年，DA组腹泻发生率高于CA组，残余胃炎发生率低于CA组，体重下降高于CA组。结论：DA技术和CA技术在安全性方面相似。然而，DA组术后1年腹泻发生率高于CA组，残余胃炎发生率低于CA组。

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