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Modification of book-binding technique during totally laparoscopic distal gastrectomy with Billroth I reconstruction

Journal of minimal access surgery, 2022-10, Vol.18 (4), p.625-628 [Peer Reviewed Journal]

COPYRIGHT 2022 Medknow Publications and Media Pvt. Ltd. ;2022. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Copyright: © 2022 Journal of Minimal Access Surgery 2022 ;ISSN: 0972-9941 ;EISSN: 1998-3921 ;DOI: 10.4103/jmas.jmas_236_21 ;PMID: 35046180

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  • Title:
    Modification of book-binding technique during totally laparoscopic distal gastrectomy with Billroth I reconstruction
  • Author: Waki, Yuhei ; Masayoshi, Obatake ; Sato, Koichi ; Yagi, Shigehiko
  • Subjects: billroth i reconstruction ; Book binding ; book-binding technique ; Bookbinding ; Gastrointestinal surgery ; How I Do It ; laparoscopic distal gastrectomy ; Laparoscopic surgery ; Laparoscopy
  • Is Part Of: Journal of minimal access surgery, 2022-10, Vol.18 (4), p.625-628
  • Description: The book-binding technique (BBT) has been developed to minimise extra detachment and mobilisation of the duodenum for totally laparoscopic distal gastrectomy (TLDG) with Billroth I reconstruction. Because of the cost-effectiveness and maximisation of the anastomotic lumen, we have modified the BBT in collaboration with the laparoscopic hand-sewing technique. Herein, we introduce a modified BBT (MBBT) and discuss its outcomes. The MBBT was performed using laparoscopic hand-sewing techniques with an absorbable barbed suture instead of using linear staples to close the defect of the anterior wall of the anastomosis site. The data of 163 patients with gastric cancer who underwent TLDG with Billroth I reconstruction performed with MBBT were retrospectively collected between April 2014 and December 2019. The mean anastomosis time was 25 min (interquartile range, 21 − 30). Postoperative complications of Clavien-Dindo grade II or greater occurred in 20 of the 163 patients (12.3%). Anastomotic leakage occurred in three patients (1.8%), whereas anastomotic stenosis occurred in one patient (0.6%). The cumulative incidence rate of anastomotic stenosis that required endoscopic dilation at 1 year was 1.2%. The MBBT method may be safe, practical, cost-effective and results in reduced staple use and anastomotic time.
  • Publisher: India: Wolters Kluwer India Pvt. Ltd
  • Language: English
  • Identifier: ISSN: 0972-9941
    EISSN: 1998-3921
    DOI: 10.4103/jmas.jmas_236_21
    PMID: 35046180
  • Source: GFMER Free Medical Journals
    PubMed Central
    ProQuest Central
    DOAJ Directory of Open Access Journals
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