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Woo Jin Hyung - One of the best experts on this subject based on the ideXlab platform.
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Delta-shaped Gastroduodenostomy using a robotic stapler in reduced-port totally robotic gastrectomy: its safety and efficiency compared with conventional anastomosis techniques.
Scientific reports, 2020Co-Authors: Jisu Kim, Joong Ho Lee, Taeil Son, Won Jun Seo, Minah Cho, Hyoung Il Kim, Hemant Batajoo, Seohee Choi, Yoo Min Kim, Woo Jin HyungAbstract:To investigate the safety and efficiency of using robotic staplers for intracorporeal Gastroduodenostomy in reduced-port robotic gastrectomy for gastric adenocarcinoma. We retrospectively reviewed patients who underwent totally robotic and laparoscopic gastrectomy with intracorporeal Gastroduodenostomy. Gastroduodenostomy using the ENDOWRIST robotic stapler (RR) was compared to that using an endolinear stapler during robotic gastrectomy (RE) and to that using an endolinear stapler during laparoscopic gastrectomy (LE). A total of 296 patients underwent Gastroduodenostomy: 58, 28, and 210 patients with RR, RE, and LE, respectively. There were no conversions to other methods, and all robotic stapling procedures were performed on the console without receiving additional assistance from a bedside surgeon during RR. Comparing the operative outcomes of RR with those of RE and LE, respectively, we noted similar postoperative short-term outcomes. There were no major complications, including anastomosis-related complications, during the postoperative period after RR. The median reconstruction time during RR was 8 min and 45 s, which was similar to that during RE (8 min, 5 s [P > 0.9999]), but longer than that during LE (6 min, 30 s [P
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Intracorporeal delta-shaped Gastroduodenostomy in reduced-port robotic distal subtotal gastrectomy: technical aspects and short-term outcomes
Surgical endoscopy, 2018Co-Authors: Joong Ho Lee, Taeil Son, Jisu Kim, Won Jun Seo, Chul Kyu Rho, Minah Cho, Hyoung Il Kim, Woo Jin HyungAbstract:Gastroduodenostomy is preferred as a method of reconstruction following distal subtotal gastrectomy. However, in initial reports on reduced-port gastrectomy, Gastroduodenostomy has rarely been performed therein because of technical difficulties. The present study describes a novel intracorporeal Gastroduodenostomy technique applicable during reduced-port robotic distal subtotal gastrectomy. Data were retrospectively reviewed for cases of reduced-port (three-port) robotic distal subtotal gastrectomy with intracorporeal delta-shaped Gastroduodenostomy performed from February 2016 to December 2016. The reduced-port approach used a Single-Site™ port via a 25-mm infraumbilical incision and two additional ports. We performed intracorporeal Gastroduodenostomy using a 45-mm robotic or laparoscopic endolinear stapler. All staplers were inserted via a port on the left lower abdomen. In our initial experience with intracorporeal Gastroduodenostomy, 28 consecutive patients underwent successful surgery with the technique without needing to convert to open, laparoscopic, or conventional five-port robotic surgery. Mean operation time was 201.1 min (110–282 min), and no major complications, including anastomosis-related problems, were recorded. Intracorporeal delta-shaped Gastroduodenostomy was safely and feasibly applied during reduced-port robotic gastrectomy with acceptable operative outcomes and no major complications. Intracorporeal Gastroduodenostomy should be considered during reduced-port distal subtotal gastrectomy.
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Original Article Intracorporeal Anastomosis Using Linear Stapler in Laparoscopic Distal Gastrectomy: Comparison between
2013Co-Authors: Hak Woo Lee, Hyoung Il Kim, Woo Jin Hyung, Jae-ho Cheong, Kang Young Lee, Sung Hoon NohAbstract:Purpose: Intracorporeal anastomosis during laparoscopic gastrectomy is becoming increasingly prevalent. However, selection of the anastomosis method after laparoscopic distal gastrectomy is equivocal because of a lack of technical feasibility and safety. We compared intracorporeal Gastroduodenostomy with gastrojejunostomy using linear staplers to evaluate the technical feasibility and safety of intracorporeal anastomoses as well as its ’ minimally invasiveness. Materials and Methods: Retrospective analyses of a prospectively collected database for gastric cancer revealed 47 gastric cancer patients who underwent laparoscopic distal gastrectomy with either intracorporeal Gastroduodenostomy or gastrojejunostomy from March 2011 to June 2011. Perioperative outcomes such as operation time, postoperative complication, and hospital stay were compared according to the type of anastomosis. Postoperative inflammatory response was also compared between the two groups using white blood cell count and high sensitivity C-reactive protein. Results: Among the 47 patients, 26 patients received Gastroduodenostomy, whereas 21 patients received gastrojejunostomy without open conversion or additional mini-laparotomy incision. There was no difference in mean operation time, blood loss, and length of postoperative hospital stays. There was no statistically significant difference in postoperative complication or mortality between two groups. However, significantly more staplers were used for Gastroduodenostomy than for gastrojejunostomy (n=6) than for Gastroduodenostomy and (n=5). Conclusions: Intracorporeal anastomosis during laparoscopic gastrectomy using linear stapler, either Gastroduodenostomy or gastrojejunostomy
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Intracorporeal Anastomosis Using Linear Stapler in Laparoscopic Distal Gastrectomy: Comparison between Gastroduodenostomy and Gastrojejunostomy
Journal of gastric cancer, 2011Co-Authors: Hak Woo Lee, Hyoung Il Kim, Woo Jin Hyung, Jae-ho Cheong, Kang Young Lee, Sung Hoon NohAbstract:Purpose: Intracorporeal anastomosis during laparoscopic gastrectomy is becoming increasingly prevalent. However, selection of the anastomosis method after laparoscopic distal gastrectomy is equivocal because of a lack of technical feasibility and safety. We compared intracorporeal Gastroduodenostomy with gastrojejunostomy using linear staplers to evaluate the technical feasibility and safety of intracor-poreal anastomoses as well as its’ minimally invasiveness. Materials and Methods: Retrospective analyses of a prospectively collected database for gastric cancer revealed 47 gastric cancer pa-tients who underwent laparoscopic distal gastrectomy with either intracorporeal Gastroduodenostomy or gastrojejunostomy from March 2011 to June 2011. Perioperative outcomes such as operation time, postoperative complication, and hospital stay were compared ac-cording to the type of anastomosis. Postoperative inflammatory response was also compared between the two groups using white blood cell count and high sensitivity C-reactive protein.Results: Among the 47 patients, 26 patients received Gastroduodenostomy, whereas 21 patients received gastrojejunostomy without open conversion or additional mini-laparotomy incision. There was no difference in mean operation time, blood loss, and length of post-operative hospital stays. There was no statistically significant difference in postoperative complication or mortality between two groups. However, significantly more staplers were used for Gastroduodenostomy than for gastrojejunostomy (n=6) than for Gastroduodenostomy and (n=5).Conclusions: Intracorporeal anastomosis during laparoscopic gastrectomy using linear stapler, either Gastroduodenostomy or gastrojeju-nostomy, shows comparable and acceptable early postoperative outcomes and are safe and feasible. Therefore, surgeons may choose either anastomosis method as long as oncological safety is guaranteed. Key Words: Laparoscopy; Gastrectomy; Billroth I operation; Billroth II operation
Yoo Min Kim - One of the best experts on this subject based on the ideXlab platform.
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delta shaped Gastroduodenostomy using a robotic stapler in reduced port totally robotic gastrectomy its safety and efficiency compared with conventional anastomosis techniques
Scientific Reports, 2020Co-Authors: Jisu Kim, Taeil Son, Won Jun Seo, Minah Cho, Hemant Batajoo, Seohee Choi, Yoo Min KimAbstract:To investigate the safety and efficiency of using robotic staplers for intracorporeal Gastroduodenostomy in reduced-port robotic gastrectomy for gastric adenocarcinoma. We retrospectively reviewed patients who underwent totally robotic and laparoscopic gastrectomy with intracorporeal Gastroduodenostomy. Gastroduodenostomy using the ENDOWRIST robotic stapler (RR) was compared to that using an endolinear stapler during robotic gastrectomy (RE) and to that using an endolinear stapler during laparoscopic gastrectomy (LE). A total of 296 patients underwent Gastroduodenostomy: 58, 28, and 210 patients with RR, RE, and LE, respectively. There were no conversions to other methods, and all robotic stapling procedures were performed on the console without receiving additional assistance from a bedside surgeon during RR. Comparing the operative outcomes of RR with those of RE and LE, respectively, we noted similar postoperative short-term outcomes. There were no major complications, including anastomosis-related complications, during the postoperative period after RR. The median reconstruction time during RR was 8 min and 45 s, which was similar to that during RE (8 min, 5 s [P > 0.9999]), but longer than that during LE (6 min, 30 s [P < 0.0001]). Intracorporeal Gastroduodenostomy using the robotic stapler during robotic gastrectomy could be safely and feasibly performed on the console without the assistance of assistant, bedside surgeons.
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Delta-shaped Gastroduodenostomy using a robotic stapler in reduced-port totally robotic gastrectomy: its safety and efficiency compared with conventional anastomosis techniques.
Scientific reports, 2020Co-Authors: Jisu Kim, Joong Ho Lee, Taeil Son, Won Jun Seo, Minah Cho, Hyoung Il Kim, Hemant Batajoo, Seohee Choi, Yoo Min Kim, Woo Jin HyungAbstract:To investigate the safety and efficiency of using robotic staplers for intracorporeal Gastroduodenostomy in reduced-port robotic gastrectomy for gastric adenocarcinoma. We retrospectively reviewed patients who underwent totally robotic and laparoscopic gastrectomy with intracorporeal Gastroduodenostomy. Gastroduodenostomy using the ENDOWRIST robotic stapler (RR) was compared to that using an endolinear stapler during robotic gastrectomy (RE) and to that using an endolinear stapler during laparoscopic gastrectomy (LE). A total of 296 patients underwent Gastroduodenostomy: 58, 28, and 210 patients with RR, RE, and LE, respectively. There were no conversions to other methods, and all robotic stapling procedures were performed on the console without receiving additional assistance from a bedside surgeon during RR. Comparing the operative outcomes of RR with those of RE and LE, respectively, we noted similar postoperative short-term outcomes. There were no major complications, including anastomosis-related complications, during the postoperative period after RR. The median reconstruction time during RR was 8 min and 45 s, which was similar to that during RE (8 min, 5 s [P > 0.9999]), but longer than that during LE (6 min, 30 s [P
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Comparing the short-term outcomes of totally intracorporeal Gastroduodenostomy with extracorporeal Gastroduodenostomy after laparoscopic distal gastrectomy for gastric cancer: a single surgeon’s experience and a rapid systematic review with meta-anal
Surgical endoscopy, 2013Co-Authors: Deok Gie Kim, Yoo Min Kim, Yoon Young Choi, In Gyu Kwon, In Cho, Jung Min Bae, Myung Gyu Song, Sung Hoon NohAbstract:Background Since delta-shaped Gastroduodenostomy was introduced, many surgeons have utilized laparoscopic distal gastrectomy (LDG) with totally intracorporeal Billroth I (ICBI) for gastric cancer, because it is expected to have several advantages over laparoscopic-assisted distal gastrectomy with extracorporeal Billroth I (ECBI). In this study, we compared these two reconstruction options to evaluate their outcomes.
Taeil Son - One of the best experts on this subject based on the ideXlab platform.
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Delta-shaped Gastroduodenostomy using a robotic stapler in reduced-port totally robotic gastrectomy: its safety and efficiency compared with conventional anastomosis techniques.
Scientific reports, 2020Co-Authors: Jisu Kim, Joong Ho Lee, Taeil Son, Won Jun Seo, Minah Cho, Hyoung Il Kim, Hemant Batajoo, Seohee Choi, Yoo Min Kim, Woo Jin HyungAbstract:To investigate the safety and efficiency of using robotic staplers for intracorporeal Gastroduodenostomy in reduced-port robotic gastrectomy for gastric adenocarcinoma. We retrospectively reviewed patients who underwent totally robotic and laparoscopic gastrectomy with intracorporeal Gastroduodenostomy. Gastroduodenostomy using the ENDOWRIST robotic stapler (RR) was compared to that using an endolinear stapler during robotic gastrectomy (RE) and to that using an endolinear stapler during laparoscopic gastrectomy (LE). A total of 296 patients underwent Gastroduodenostomy: 58, 28, and 210 patients with RR, RE, and LE, respectively. There were no conversions to other methods, and all robotic stapling procedures were performed on the console without receiving additional assistance from a bedside surgeon during RR. Comparing the operative outcomes of RR with those of RE and LE, respectively, we noted similar postoperative short-term outcomes. There were no major complications, including anastomosis-related complications, during the postoperative period after RR. The median reconstruction time during RR was 8 min and 45 s, which was similar to that during RE (8 min, 5 s [P > 0.9999]), but longer than that during LE (6 min, 30 s [P
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delta shaped Gastroduodenostomy using a robotic stapler in reduced port totally robotic gastrectomy its safety and efficiency compared with conventional anastomosis techniques
Scientific Reports, 2020Co-Authors: Jisu Kim, Taeil Son, Won Jun Seo, Minah Cho, Hemant Batajoo, Seohee Choi, Yoo Min KimAbstract:To investigate the safety and efficiency of using robotic staplers for intracorporeal Gastroduodenostomy in reduced-port robotic gastrectomy for gastric adenocarcinoma. We retrospectively reviewed patients who underwent totally robotic and laparoscopic gastrectomy with intracorporeal Gastroduodenostomy. Gastroduodenostomy using the ENDOWRIST robotic stapler (RR) was compared to that using an endolinear stapler during robotic gastrectomy (RE) and to that using an endolinear stapler during laparoscopic gastrectomy (LE). A total of 296 patients underwent Gastroduodenostomy: 58, 28, and 210 patients with RR, RE, and LE, respectively. There were no conversions to other methods, and all robotic stapling procedures were performed on the console without receiving additional assistance from a bedside surgeon during RR. Comparing the operative outcomes of RR with those of RE and LE, respectively, we noted similar postoperative short-term outcomes. There were no major complications, including anastomosis-related complications, during the postoperative period after RR. The median reconstruction time during RR was 8 min and 45 s, which was similar to that during RE (8 min, 5 s [P > 0.9999]), but longer than that during LE (6 min, 30 s [P < 0.0001]). Intracorporeal Gastroduodenostomy using the robotic stapler during robotic gastrectomy could be safely and feasibly performed on the console without the assistance of assistant, bedside surgeons.
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Intracorporeal delta-shaped Gastroduodenostomy in reduced-port robotic distal subtotal gastrectomy: technical aspects and short-term outcomes
Surgical endoscopy, 2018Co-Authors: Joong Ho Lee, Taeil Son, Jisu Kim, Won Jun Seo, Chul Kyu Rho, Minah Cho, Hyoung Il Kim, Woo Jin HyungAbstract:Gastroduodenostomy is preferred as a method of reconstruction following distal subtotal gastrectomy. However, in initial reports on reduced-port gastrectomy, Gastroduodenostomy has rarely been performed therein because of technical difficulties. The present study describes a novel intracorporeal Gastroduodenostomy technique applicable during reduced-port robotic distal subtotal gastrectomy. Data were retrospectively reviewed for cases of reduced-port (three-port) robotic distal subtotal gastrectomy with intracorporeal delta-shaped Gastroduodenostomy performed from February 2016 to December 2016. The reduced-port approach used a Single-Site™ port via a 25-mm infraumbilical incision and two additional ports. We performed intracorporeal Gastroduodenostomy using a 45-mm robotic or laparoscopic endolinear stapler. All staplers were inserted via a port on the left lower abdomen. In our initial experience with intracorporeal Gastroduodenostomy, 28 consecutive patients underwent successful surgery with the technique without needing to convert to open, laparoscopic, or conventional five-port robotic surgery. Mean operation time was 201.1 min (110–282 min), and no major complications, including anastomosis-related problems, were recorded. Intracorporeal delta-shaped Gastroduodenostomy was safely and feasibly applied during reduced-port robotic gastrectomy with acceptable operative outcomes and no major complications. Intracorporeal Gastroduodenostomy should be considered during reduced-port distal subtotal gastrectomy.
Minah Cho - One of the best experts on this subject based on the ideXlab platform.
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Delta-shaped Gastroduodenostomy using a robotic stapler in reduced-port totally robotic gastrectomy: its safety and efficiency compared with conventional anastomosis techniques.
Scientific reports, 2020Co-Authors: Jisu Kim, Joong Ho Lee, Taeil Son, Won Jun Seo, Minah Cho, Hyoung Il Kim, Hemant Batajoo, Seohee Choi, Yoo Min Kim, Woo Jin HyungAbstract:To investigate the safety and efficiency of using robotic staplers for intracorporeal Gastroduodenostomy in reduced-port robotic gastrectomy for gastric adenocarcinoma. We retrospectively reviewed patients who underwent totally robotic and laparoscopic gastrectomy with intracorporeal Gastroduodenostomy. Gastroduodenostomy using the ENDOWRIST robotic stapler (RR) was compared to that using an endolinear stapler during robotic gastrectomy (RE) and to that using an endolinear stapler during laparoscopic gastrectomy (LE). A total of 296 patients underwent Gastroduodenostomy: 58, 28, and 210 patients with RR, RE, and LE, respectively. There were no conversions to other methods, and all robotic stapling procedures were performed on the console without receiving additional assistance from a bedside surgeon during RR. Comparing the operative outcomes of RR with those of RE and LE, respectively, we noted similar postoperative short-term outcomes. There were no major complications, including anastomosis-related complications, during the postoperative period after RR. The median reconstruction time during RR was 8 min and 45 s, which was similar to that during RE (8 min, 5 s [P > 0.9999]), but longer than that during LE (6 min, 30 s [P
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delta shaped Gastroduodenostomy using a robotic stapler in reduced port totally robotic gastrectomy its safety and efficiency compared with conventional anastomosis techniques
Scientific Reports, 2020Co-Authors: Jisu Kim, Taeil Son, Won Jun Seo, Minah Cho, Hemant Batajoo, Seohee Choi, Yoo Min KimAbstract:To investigate the safety and efficiency of using robotic staplers for intracorporeal Gastroduodenostomy in reduced-port robotic gastrectomy for gastric adenocarcinoma. We retrospectively reviewed patients who underwent totally robotic and laparoscopic gastrectomy with intracorporeal Gastroduodenostomy. Gastroduodenostomy using the ENDOWRIST robotic stapler (RR) was compared to that using an endolinear stapler during robotic gastrectomy (RE) and to that using an endolinear stapler during laparoscopic gastrectomy (LE). A total of 296 patients underwent Gastroduodenostomy: 58, 28, and 210 patients with RR, RE, and LE, respectively. There were no conversions to other methods, and all robotic stapling procedures were performed on the console without receiving additional assistance from a bedside surgeon during RR. Comparing the operative outcomes of RR with those of RE and LE, respectively, we noted similar postoperative short-term outcomes. There were no major complications, including anastomosis-related complications, during the postoperative period after RR. The median reconstruction time during RR was 8 min and 45 s, which was similar to that during RE (8 min, 5 s [P > 0.9999]), but longer than that during LE (6 min, 30 s [P < 0.0001]). Intracorporeal Gastroduodenostomy using the robotic stapler during robotic gastrectomy could be safely and feasibly performed on the console without the assistance of assistant, bedside surgeons.
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Intracorporeal delta-shaped Gastroduodenostomy in reduced-port robotic distal subtotal gastrectomy: technical aspects and short-term outcomes
Surgical endoscopy, 2018Co-Authors: Joong Ho Lee, Taeil Son, Jisu Kim, Won Jun Seo, Chul Kyu Rho, Minah Cho, Hyoung Il Kim, Woo Jin HyungAbstract:Gastroduodenostomy is preferred as a method of reconstruction following distal subtotal gastrectomy. However, in initial reports on reduced-port gastrectomy, Gastroduodenostomy has rarely been performed therein because of technical difficulties. The present study describes a novel intracorporeal Gastroduodenostomy technique applicable during reduced-port robotic distal subtotal gastrectomy. Data were retrospectively reviewed for cases of reduced-port (three-port) robotic distal subtotal gastrectomy with intracorporeal delta-shaped Gastroduodenostomy performed from February 2016 to December 2016. The reduced-port approach used a Single-Site™ port via a 25-mm infraumbilical incision and two additional ports. We performed intracorporeal Gastroduodenostomy using a 45-mm robotic or laparoscopic endolinear stapler. All staplers were inserted via a port on the left lower abdomen. In our initial experience with intracorporeal Gastroduodenostomy, 28 consecutive patients underwent successful surgery with the technique without needing to convert to open, laparoscopic, or conventional five-port robotic surgery. Mean operation time was 201.1 min (110–282 min), and no major complications, including anastomosis-related problems, were recorded. Intracorporeal delta-shaped Gastroduodenostomy was safely and feasibly applied during reduced-port robotic gastrectomy with acceptable operative outcomes and no major complications. Intracorporeal Gastroduodenostomy should be considered during reduced-port distal subtotal gastrectomy.
Sang-uk Han - One of the best experts on this subject based on the ideXlab platform.
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the learning curve of linear shaped Gastroduodenostomy associated with totally laparoscopic distal gastrectomy
Journal of Gastrointestinal Surgery, 2020Co-Authors: Bo Wang, Sang-yong Son, Hoon Hur, Ho-jung Shin, Sang-uk HanAbstract:Linear-shaped Gastroduodenostomy (LSGD) is a new method of intracorporeal reconstruction that is simpler to perform and associated with a lower rate of bile reflux than delta-shaped anastomosis. Here, we analyzed the learning curve of LSGD in totally laparoscopic distal gastrectomy. The cumulative sum method was used to retrospectively analyze consecutive gastric cancer patients undergoing intracorporeal Gastroduodenostomy after distal gastrectomy between January 2009 and May 2016. The duration of surgery, postoperative complications, hospital stay, and endoscopic findings in the postoperative period and the first, third, and fifth year were evaluated according to the two phases of the learning curve (learning period versus mastery period). Data from 222 patients were included in the analysis. The LSGD learning period was 29 cases. The surgical time in mastery period was significantly shorter than the learning period (124.9 ± 34.5 versus 168.2 ± 42.0 min, p < 0.001). The incidence of minor complications was significantly reduced after the learning period (p = 0.041), although there was no statistically significant difference in the rate of major complications. The long-term endoscopic findings showed that the presence of residual food decreased over the time (p = 0.022). LSGD can be mastered easily after a reasonable number of cases and was associated with safe and satisfactory short- and long-term outcomes before and after learning curve.
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The Learning Curve of Linear-Shaped Gastroduodenostomy Associated with Totally Laparoscopic Distal Gastrectomy.
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019Co-Authors: Bo Wang, Sang-yong Son, Hoon Hur, Ho-jung Shin, Sang-uk HanAbstract:Linear-shaped Gastroduodenostomy (LSGD) is a new method of intracorporeal reconstruction that is simpler to perform and associated with a lower rate of bile reflux than delta-shaped anastomosis. Here, we analyzed the learning curve of LSGD in totally laparoscopic distal gastrectomy. The cumulative sum method was used to retrospectively analyze consecutive gastric cancer patients undergoing intracorporeal Gastroduodenostomy after distal gastrectomy between January 2009 and May 2016. The duration of surgery, postoperative complications, hospital stay, and endoscopic findings in the postoperative period and the first, third, and fifth year were evaluated according to the two phases of the learning curve (learning period versus mastery period). Data from 222 patients were included in the analysis. The LSGD learning period was 29 cases. The surgical time in mastery period was significantly shorter than the learning period (124.9 ± 34.5 versus 168.2 ± 42.0 min, p
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Linear-shaped Gastroduodenostomy (LSGD): safe and feasible technique of intracorporeal Billroth I anastomosis.
Surgical endoscopy, 2016Co-Authors: Cheulsu Byun, Long Hai Cui, Sang-yong Son, Hoon Hur, Young Kwan Cho, Sang-uk HanAbstract:Background Although delta-shaped Gastroduodenostomy (DSGD) is used increasingly as an intracorporeal Billroth I anastomosis after distal gastrectomy, worries about anatomical distortion always exist in twisting stomach and making an oblique incision on duodenum. We developed a new method of intracorporeal Gastroduodenostomy, the linear-shaped Gastroduodenostomy (LSGD), in which anastomosis is done using endoscopic linear staplers only without any complicated rotation. In this report, we introduced LSGD and compared its short-term and long-term outcomes with DSGD.
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Linear-Shaped Gastroduodenostomy in Totally Laparoscopic Distal Gastrectomy
Journal of Gastric Cancer, 2010Co-Authors: Hyaung Mi Song, Hoon Hur, Sang Lim Lee, Yong Kwan Cho, Sang-uk HanAbstract:Purpose: Laparoscopic gastrectomy has been common treatment modality for gastric cancer. But, most surgeons tend to perform laparoscopy-assisted distal gastrectomy using epigastric incision. Delta-shaped anastomosis is known as intracorporeal Gastroduodenostomy, but it is technically difficult and needed many staplers. So we tried to find simple and economical method, here we report on the results of liner-shaped Gastroduodenostomy in totally laparoscopic distal gastrectomy. Materials and Methods: We retrospectively reviewed the medical records of 25 patients who underwent totally laparoscopic distal gastrectomy using liner-shaped anastomosis at School of Medicine, Ajou University between January to October 2009. The indication was early gastric cancer as diagnosed by preoperative workup, the anastomoses were performed by using laparoscopic linear stapler. Results: There were 12 female and 13 male patients with a mean age of . The following procedures were performed 14 laparoscopic gastrectomies, 11 robotic gastrectomies. The mean operation time was minutes, the mean anastomotic time was minutes. The mean number of stapler cartridges was . Postoperative complication occurred in one patient, anastomotic stenosis, and the patient required reoperation to gastrojejunostomy. The mean length of postoperative hospital stay was days except the complication case, and there was no case of conversion to open procedure and postoperative mortality. Conclusions: Linear-shaped Gastroduodenostomy in totally laparoscopic distal gastrectomy is technically simple and feasible method.
