+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Duodenal stump reinforcement might reduce both incidence and severity of duodenal stump leakage after laparoscopic gastrectomy with Roux-en-Y reconstruction for gastric cancer



Duodenal stump reinforcement might reduce both incidence and severity of duodenal stump leakage after laparoscopic gastrectomy with Roux-en-Y reconstruction for gastric cancer



Gastric Cancer 2019



Although duodenal stump leakage (DSL) is a relatively rare complication after gastrectomy with Roux-en-Y (R-Y) reconstruction, it is difficult to treat and can be fatal. We investigated the impact of duodenal stump reinforcement on DSL after laparoscopic gastrectomy with R-Y reconstruction for gastric cancer. This retrospective study of 965 patients with gastric cancer who underwent laparoscopic distal or total gastrectomy (LDG or LTG) with R-Y reconstruction compared surgical outcomes between two groups, the duodenal stump reinforcement group (reinforcement group) (n = 895) and that without duodenal stump reinforcement (non-reinforcement group) (n = 70). Mean operative duration was significantly longer in the reinforcement than in the non-reinforcement group (LDG; 291 min versus 258 min, p < 0.001, LTG; 325 min versus 285 min, p < 0.001). DSL occurred less frequently in the reinforcement than in the non-reinforcement group (0.67% vs. 5.71%, p < 0.001). Furthermore, non-reinforcement was an independent risk factor for DSL in multiple logistic regression analysis with adjustment for potential confounding factors. Patients with DSL in the non-reinforcement group all required re-operation, while all but one patient with DSL in the reinforcement group recovered with conservative management. Duodenal stump reinforcement in laparoscopic gastrectomy with R-Y reconstruction may reduce the risk of DSL development and minimize its severity.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066573297

Download citation: RISBibTeXText

PMID: 30852781

DOI: 10.1007/s10120-019-00946-8


Related references

Staple-Line Reinforcement of the Duodenal Stump With Intracorporeal Lembert's Sutures in Laparoscopic Distal Gastrectomy With Roux-en-Y Reconstruction for Gastric Cancer. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques 26(4): 338-342, 2017

Risk factors for duodenal stump leakage after gastrectomy for gastric cancer and management technique of stump leakage. Hepato-Gastroenterology 61(133): 1446-1453, 2014

Repeated Duodenal Stump Perforation Using a Stapling Device Following Subtotal Gastrectomy With Roux-en-Y Reconstruction for Advanced Gastric Cancer: Lessons From a Rare Case. International Surgery 100(4): 726-732, 2016

Laparoscopic reinforcement suture on staple-line of duodenal stump using barbed suture during laparoscopic gastrectomy for gastric cancer. Annals of Surgical Treatment and Research 93(6): 305-309, 2017

Laparoscopic Reinforcement Suture (LARS) on Staple Line of Duodenal Stump Using Barbed Suture in Laparoscopic Gastrectomy for Gastric Cancer: a Prospective Single Arm Phase II Study. Journal of Gastric Cancer 17(4): 354-362, 2018

Outcomes of Non-Operative Treatment for Duodenal Stump Leakage after Gastrectomy in Patients with Gastric Cancer. Journal of Gastric Cancer 16(1): 28-33, 2016

Endoscopic clipping of duodenal stump leakage after Billroth II gastrectomy in gastric cancer patient. Journal of Surgical Oncology 100(1): 80-81, 2009

Delayed duodenal stump blow-out following total gastrectomy for cancer: Heightened awareness for the continued presence of the surgical past in the present is the key to a successful duodenal stump disruption management. A case report. International Journal of Surgery Case Reports 5(12): 1229-1233, 2014

Nutritional support of duodenal stump leakage after gastrectomy for gastric carcinoma. Zhonghua Wei Chang Wai Ke Za Zhi 11(1): 47-49, 2008

What we can learn from a case of medical malpractice--surgeon is acquitted of wrongful death of his gastric cancer patient who died from multiple organ dysfunction syndrome following a duodenal stump leakage in gastrectomy. Nihon Geka Gakkai Zasshi 113(6): 525-526, 2013

Cancer of the Gastric Stump After Gastrectomy for Duodenal Ulcer. Anais Paulistas de Medicina E Cirurgia 85: 136-138, 1963

Cancer of the gastric stump in patients with gastrectomy for duodenal ulcer. Revista Espanola de Las Enfermedades del Aparato Digestivo 30(1): 13-20, 1970

Cancer of the gastric stump after partial gastrectomy for duodenal ulcer. Polski Przeglad Chirurgiczny 40(9): 1039-1041, 1968

Plastic reinforcement of sutures of the duodenal stump after gastrectomy. Khirurgiia 1983(4): 32-35, 1983

Cancer of gastric stump after partial gastrectomy performed for gastric or duodenal ulcer. Polski Przeglad Chirurgiczny 41(1): 28-33, 1969