Safety of modified double-stapling end-to-end gastroduodenostomy in distal subtotal gastrectomy

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Yang, Han-Kwang; Lee, Hyuk-Joon; Ahn, Hye-Sung; Yoo, Moon-Won; Lee, In Kyu; Lee, Kuhn Uk
Issue Date
John Wiley & Sons
J Surg Oncol. 2007 Dec 1;96(7):624-9
AdultAgedAnastomosis, Surgical/adverse effects/*methodsDuodenostomy/adverse effects/*methodsFemaleGastrectomy/adverse effects/*methodsHumansMaleMiddle AgedPostoperative Complications/etiologyRetrospective StudiesStomach Neoplasms/*surgerySurgical Stapling/adverse effects/*methods
BACKGROUND AND OBJECTIVES: Double-stapling end-to-end gastroduodenostomy (DS-BI) has several potential advantages over other anastomotic techniques in that it is a simple procedure, with no additional gastrotomy on the remnant stomach, and less tension on the anastomosis site. We evaluated the safety of DS-BI by comparing it with the hand-sewn Billroth II gastrojejunostomy (B-II). METHODS: Medical records of 933 consecutive patients (DS-BI 428, B-II 505) who underwent distal subtotal gastrectomy were retrospectively reviewed. Several clinicopathological features and treatment results were compared between the two groups. RESULTS: The overall complication rates were 9.3% in the DS-BI group and 15.2% in the B-II group (P = 0.007). Anastomosis-related complications, such as anastomosis-site leakage, stenosis, and intraluminal bleeding, did not differ between the two groups (1.2% in the DS-BI group and 1.8% in the B-II group, P = 0.59). All the anastomosis-related complications were managed conservatively. Postoperative mortality rates were 0% in the DS-BI group and 0.4% (2/505) in the B-II group. CONCLUSIONS: Modified DS-BI is a safe procedure, with short-term results similar to those of hand-sewn Billroth II anastomosis.
0022-4790 (Print)
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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