Augmented rectangle technique for Billroth I anastomosis in totally laparoscopic distal gastrectomy for gastric cancer View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-09

AUTHORS

Tetsu Fukunaga, Yuji Ishibashi, Shinichi Oka, Satoshi Kanda, Yukinori Yube, Yoshinori Kohira, Yuta Matsuo, Osamu Mori, Shinya Mikami, Takeharu Enomoto, Takehito Otsubo

ABSTRACT

BACKGROUND: Billroth I reconstruction is a means of anastomosis that is widely performed after surgical resection for distal gastric cancer. Interest has grown in totally laparoscopic gastrectomy, and several methods for totally laparoscopic performance of Billroth I reconstruction have been reported. However, the methods are cumbersome, and postoperative complications such as twisting at the site of anastomosis and obstruction due to stenosis have arisen. We developed an augmented rectangle technique (ART) by which the anastomosis is created laparoscopically with the use of three automatic endoscopic linear staplers, and the resulting anastomotic opening is wide and less likely to become twisted or stenosed. The technical details of our ART-based Billroth I anastomosis are presented herein along with results of the procedure to date. METHODS: The technique was applied in 160 patients who underwent totally laparoscopic distal gastrectomy for gastric cancer between December 2013 and August 2017. Clinicopathological data, surgical data, and postoperative outcomes were analyzed. RESULTS: During surgery, there were no troubles associated with gastrointestinal reconstruction and there was no transition to laparotomy. There were no postoperative complications, including suture failure and stenosis, associated with the gastrointestinal reconstruction, and the average postoperative hospital stay was 12 days. CONCLUSION: Totally laparoscopic ART-based Billroth I reconstruction is both feasible and safe. We expect this technique to contribute to the spread of safe totally laparoscopic surgery for gastric cancer. More... »

PAGES

4011-4016

References to SciGraph publications

  • 2016-10. Linear-shaped gastroduodenostomy (LSGD): safe and feasible technique of intracorporeal Billroth I anastomosis in SURGICAL ENDOSCOPY
  • 2016-12. Totally laparoscopic versus laparoscopy-assisted Billroth-I anastomosis for gastric cancer: a case–control and case-matched study in SURGICAL ENDOSCOPY
  • 2009-06. Left-sided approach for suprapancreatic lymph node dissection in laparoscopy-assisted distal gastrectomy without duodenal transection in GASTRIC CANCER
  • 2015-06. Safety and feasibility during the initial learning process of intracorporeal Billroth I (delta-shaped) anastomosis for laparoscopic distal gastrectomy in SURGICAL ENDOSCOPY
  • 2014-05. Clinical significance of medial approach for suprapancreatic lymph node dissection during laparoscopic gastric cancer surgery in SURGICAL ENDOSCOPY
  • 2011-06. Japanese classification of gastric carcinoma: 3rd English edition in GASTRIC CANCER
  • 2009-09. Predictive factors for surgical complications of laparoscopy-assisted distal gastrectomy for gastric cancer in SURGICAL ENDOSCOPY
  • 2015-10. Does the Single-Stapling Technique for Circular-Stapled Esophagojejunostomy Reduce Anastomotic Complications After Laparoscopic Total Gastrectomy? in ANNALS OF SURGICAL ONCOLOGY
  • 2013-09. 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-analysis in SURGICAL ENDOSCOPY
  • 2013-01. Progression from laparoscopic-assisted to totally laparoscopic distal gastrectomy: comparison of circular stapler (i-DST) and linear stapler (BBT) for intracorporeal anastomosis in SURGICAL ENDOSCOPY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00464-018-6266-1

    DOI

    http://dx.doi.org/10.1007/s00464-018-6266-1

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1104891405

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/29915985


    Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
    Incoming Citations Browse incoming citations for this publication using opencitations.net

    JSON-LD is the canonical representation for SciGraph data.

    TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

    [
      {
        "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
        "about": [
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Clinical Sciences", 
            "type": "DefinedTerm"
          }, 
          {
            "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
            "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
            "name": "Medical and Health Sciences", 
            "type": "DefinedTerm"
          }
        ], 
        "author": [
          {
            "affiliation": {
              "alternateName": "Juntendo University Hospital", 
              "id": "https://www.grid.ac/institutes/grid.411966.d", 
              "name": [
                "Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Fukunaga", 
            "givenName": "Tetsu", 
            "id": "sg:person.01041303152.12", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01041303152.12"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Juntendo University Hospital", 
              "id": "https://www.grid.ac/institutes/grid.411966.d", 
              "name": [
                "Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Ishibashi", 
            "givenName": "Yuji", 
            "id": "sg:person.014654454314.14", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014654454314.14"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Juntendo University Hospital", 
              "id": "https://www.grid.ac/institutes/grid.411966.d", 
              "name": [
                "Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Oka", 
            "givenName": "Shinichi", 
            "id": "sg:person.016315530514.05", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016315530514.05"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Juntendo University Hospital", 
              "id": "https://www.grid.ac/institutes/grid.411966.d", 
              "name": [
                "Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Kanda", 
            "givenName": "Satoshi", 
            "id": "sg:person.011205420314.18", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011205420314.18"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Juntendo University Hospital", 
              "id": "https://www.grid.ac/institutes/grid.411966.d", 
              "name": [
                "Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Yube", 
            "givenName": "Yukinori", 
            "id": "sg:person.016664720630.28", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016664720630.28"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Juntendo University Hospital", 
              "id": "https://www.grid.ac/institutes/grid.411966.d", 
              "name": [
                "Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Kohira", 
            "givenName": "Yoshinori", 
            "id": "sg:person.016363643714.35", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016363643714.35"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Juntendo University Hospital", 
              "id": "https://www.grid.ac/institutes/grid.411966.d", 
              "name": [
                "Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Matsuo", 
            "givenName": "Yuta", 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "Juntendo University Hospital", 
              "id": "https://www.grid.ac/institutes/grid.411966.d", 
              "name": [
                "Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Mori", 
            "givenName": "Osamu", 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "St. Marianna University School of Medicine", 
              "id": "https://www.grid.ac/institutes/grid.412764.2", 
              "name": [
                "Department of Gastroenterological and General Surgery, St. Marianna University, School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Mikami", 
            "givenName": "Shinya", 
            "id": "sg:person.016237737543.10", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016237737543.10"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "St. Marianna University School of Medicine", 
              "id": "https://www.grid.ac/institutes/grid.412764.2", 
              "name": [
                "Department of Gastroenterological and General Surgery, St. Marianna University, School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Enomoto", 
            "givenName": "Takeharu", 
            "id": "sg:person.01115127761.64", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01115127761.64"
            ], 
            "type": "Person"
          }, 
          {
            "affiliation": {
              "alternateName": "St. Marianna University School of Medicine", 
              "id": "https://www.grid.ac/institutes/grid.412764.2", 
              "name": [
                "Department of Gastroenterological and General Surgery, St. Marianna University, School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan"
              ], 
              "type": "Organization"
            }, 
            "familyName": "Otsubo", 
            "givenName": "Takehito", 
            "id": "sg:person.01120771061.09", 
            "sameAs": [
              "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01120771061.09"
            ], 
            "type": "Person"
          }
        ], 
        "citation": [
          {
            "id": "sg:pub.10.1245/s10434-015-4417-3", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1001053468", 
              "https://doi.org/10.1245/s10434-015-4417-3"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.5230/jgc.2013.13.1.26", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1001305375"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-008-0247-8", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1008571886", 
              "https://doi.org/10.1007/s00464-008-0247-8"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-008-0247-8", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1008571886", 
              "https://doi.org/10.1007/s00464-008-0247-8"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-012-2433-y", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1010873151", 
              "https://doi.org/10.1007/s00464-012-2433-y"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s10120-011-0041-5", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1016436945", 
              "https://doi.org/10.1007/s10120-011-0041-5"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-014-3836-8", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1019718459", 
              "https://doi.org/10.1007/s00464-014-3836-8"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/01.sla.0000133083.54934.ae", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1024049438"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/01.sla.0000133083.54934.ae", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1024049438"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/01.sla.0000133083.54934.ae", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1024049438"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-013-3370-0", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1037095232", 
              "https://doi.org/10.1007/s00464-013-3370-0"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-013-2869-8", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1042695399", 
              "https://doi.org/10.1007/s00464-013-2869-8"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1016/s1072-7515(02)01239-5", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1045440774"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/sle.0b013e3181568e63", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1046328067"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1097/sle.0b013e3181568e63", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1046328067"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-016-4872-3", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1046401634", 
              "https://doi.org/10.1007/s00464-016-4872-3"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-016-4872-3", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1046401634", 
              "https://doi.org/10.1007/s00464-016-4872-3"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s10120-009-0508-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1047102474", 
              "https://doi.org/10.1007/s10120-009-0508-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s10120-009-0508-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1047102474", 
              "https://doi.org/10.1007/s10120-009-0508-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s10120-009-0508-9", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1047102474", 
              "https://doi.org/10.1007/s10120-009-0508-9"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "sg:pub.10.1007/s00464-016-4783-3", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1050078076", 
              "https://doi.org/10.1007/s00464-016-4783-3"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://doi.org/10.1111/ases.12357", 
            "sameAs": [
              "https://app.dimensions.ai/details/publication/pub.1074231870"
            ], 
            "type": "CreativeWork"
          }, 
          {
            "id": "https://app.dimensions.ai/details/publication/pub.1082689595", 
            "type": "CreativeWork"
          }
        ], 
        "datePublished": "2018-09", 
        "datePublishedReg": "2018-09-01", 
        "description": "BACKGROUND: Billroth I reconstruction is a means of anastomosis that is widely performed after surgical resection for distal gastric cancer. Interest has grown in totally laparoscopic gastrectomy, and several methods for totally laparoscopic performance of Billroth I reconstruction have been reported. However, the methods are cumbersome, and postoperative complications such as twisting at the site of anastomosis and obstruction due to stenosis have arisen. We developed an augmented rectangle technique (ART) by which the anastomosis is created laparoscopically with the use of three automatic endoscopic linear staplers, and the resulting anastomotic opening is wide and less likely to become twisted or stenosed. The technical details of our ART-based Billroth I anastomosis are presented herein along with results of the procedure to date.\nMETHODS: The technique was applied in 160 patients who underwent totally laparoscopic distal gastrectomy for gastric cancer between December 2013 and August 2017. Clinicopathological data, surgical data, and postoperative outcomes were analyzed.\nRESULTS: During surgery, there were no troubles associated with gastrointestinal reconstruction and there was no transition to laparotomy. There were no postoperative complications, including suture failure and stenosis, associated with the gastrointestinal reconstruction, and the average postoperative hospital stay was 12\u00a0days.\nCONCLUSION: Totally laparoscopic ART-based Billroth I reconstruction is both feasible and safe. We expect this technique to contribute to the spread of safe totally laparoscopic surgery for gastric cancer.", 
        "genre": "research_article", 
        "id": "sg:pub.10.1007/s00464-018-6266-1", 
        "inLanguage": [
          "en"
        ], 
        "isAccessibleForFree": false, 
        "isPartOf": [
          {
            "id": "sg:journal.1098220", 
            "issn": [
              "0930-2794", 
              "1432-2218"
            ], 
            "name": "Surgical Endoscopy", 
            "type": "Periodical"
          }, 
          {
            "issueNumber": "9", 
            "type": "PublicationIssue"
          }, 
          {
            "type": "PublicationVolume", 
            "volumeNumber": "32"
          }
        ], 
        "name": "Augmented rectangle technique for Billroth I anastomosis in totally laparoscopic distal gastrectomy for gastric cancer", 
        "pagination": "4011-4016", 
        "productId": [
          {
            "name": "readcube_id", 
            "type": "PropertyValue", 
            "value": [
              "1c5bb662cfc75e576fb87751d7294b76657f6494f571278cadde052a9d006a63"
            ]
          }, 
          {
            "name": "pubmed_id", 
            "type": "PropertyValue", 
            "value": [
              "29915985"
            ]
          }, 
          {
            "name": "nlm_unique_id", 
            "type": "PropertyValue", 
            "value": [
              "8806653"
            ]
          }, 
          {
            "name": "doi", 
            "type": "PropertyValue", 
            "value": [
              "10.1007/s00464-018-6266-1"
            ]
          }, 
          {
            "name": "dimensions_id", 
            "type": "PropertyValue", 
            "value": [
              "pub.1104891405"
            ]
          }
        ], 
        "sameAs": [
          "https://doi.org/10.1007/s00464-018-6266-1", 
          "https://app.dimensions.ai/details/publication/pub.1104891405"
        ], 
        "sdDataset": "articles", 
        "sdDatePublished": "2019-04-11T11:09", 
        "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
        "sdPublisher": {
          "name": "Springer Nature - SN SciGraph project", 
          "type": "Organization"
        }, 
        "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000353_0000000353/records_45339_00000002.jsonl", 
        "type": "ScholarlyArticle", 
        "url": "http://link.springer.com/10.1007%2Fs00464-018-6266-1"
      }
    ]
     

    Download the RDF metadata as:  json-ld nt turtle xml License info

    HOW TO GET THIS DATA PROGRAMMATICALLY:

    JSON-LD is a popular format for linked data which is fully compatible with JSON.

    curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00464-018-6266-1'

    N-Triples is a line-based linked data format ideal for batch operations.

    curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00464-018-6266-1'

    Turtle is a human-readable linked data format.

    curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00464-018-6266-1'

    RDF/XML is a standard XML format for linked data.

    curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00464-018-6266-1'


     

    This table displays all metadata directly associated to this object as RDF triples.

    197 TRIPLES      21 PREDICATES      45 URIs      21 LITERALS      9 BLANK NODES

    Subject Predicate Object
    1 sg:pub.10.1007/s00464-018-6266-1 schema:about anzsrc-for:11
    2 anzsrc-for:1103
    3 schema:author N788fa3cab5434f70b41155d14b759974
    4 schema:citation sg:pub.10.1007/s00464-008-0247-8
    5 sg:pub.10.1007/s00464-012-2433-y
    6 sg:pub.10.1007/s00464-013-2869-8
    7 sg:pub.10.1007/s00464-013-3370-0
    8 sg:pub.10.1007/s00464-014-3836-8
    9 sg:pub.10.1007/s00464-016-4783-3
    10 sg:pub.10.1007/s00464-016-4872-3
    11 sg:pub.10.1007/s10120-009-0508-9
    12 sg:pub.10.1007/s10120-011-0041-5
    13 sg:pub.10.1245/s10434-015-4417-3
    14 https://app.dimensions.ai/details/publication/pub.1082689595
    15 https://doi.org/10.1016/s1072-7515(02)01239-5
    16 https://doi.org/10.1097/01.sla.0000133083.54934.ae
    17 https://doi.org/10.1097/sle.0b013e3181568e63
    18 https://doi.org/10.1111/ases.12357
    19 https://doi.org/10.5230/jgc.2013.13.1.26
    20 schema:datePublished 2018-09
    21 schema:datePublishedReg 2018-09-01
    22 schema:description BACKGROUND: Billroth I reconstruction is a means of anastomosis that is widely performed after surgical resection for distal gastric cancer. Interest has grown in totally laparoscopic gastrectomy, and several methods for totally laparoscopic performance of Billroth I reconstruction have been reported. However, the methods are cumbersome, and postoperative complications such as twisting at the site of anastomosis and obstruction due to stenosis have arisen. We developed an augmented rectangle technique (ART) by which the anastomosis is created laparoscopically with the use of three automatic endoscopic linear staplers, and the resulting anastomotic opening is wide and less likely to become twisted or stenosed. The technical details of our ART-based Billroth I anastomosis are presented herein along with results of the procedure to date. METHODS: The technique was applied in 160 patients who underwent totally laparoscopic distal gastrectomy for gastric cancer between December 2013 and August 2017. Clinicopathological data, surgical data, and postoperative outcomes were analyzed. RESULTS: During surgery, there were no troubles associated with gastrointestinal reconstruction and there was no transition to laparotomy. There were no postoperative complications, including suture failure and stenosis, associated with the gastrointestinal reconstruction, and the average postoperative hospital stay was 12 days. CONCLUSION: Totally laparoscopic ART-based Billroth I reconstruction is both feasible and safe. We expect this technique to contribute to the spread of safe totally laparoscopic surgery for gastric cancer.
    23 schema:genre research_article
    24 schema:inLanguage en
    25 schema:isAccessibleForFree false
    26 schema:isPartOf N5e8ce91345a84b02a5ae6a1926bc63a1
    27 N71e0aea7b2d94b78ac5cd9a6015f6299
    28 sg:journal.1098220
    29 schema:name Augmented rectangle technique for Billroth I anastomosis in totally laparoscopic distal gastrectomy for gastric cancer
    30 schema:pagination 4011-4016
    31 schema:productId N89100d7a17264cdfa06217c0a7ada81e
    32 Nbbb80bb3575a45da8d322de63d4ae595
    33 Nd018eac5ad0f481a92d962fd4841563c
    34 Ne15c5ec2cc06402289b2c647458954e2
    35 Ne983385acab544e6be3f58b7451a8b3f
    36 schema:sameAs https://app.dimensions.ai/details/publication/pub.1104891405
    37 https://doi.org/10.1007/s00464-018-6266-1
    38 schema:sdDatePublished 2019-04-11T11:09
    39 schema:sdLicense https://scigraph.springernature.com/explorer/license/
    40 schema:sdPublisher Ndf26f470afcf4f00b2b07076437a0910
    41 schema:url http://link.springer.com/10.1007%2Fs00464-018-6266-1
    42 sgo:license sg:explorer/license/
    43 sgo:sdDataset articles
    44 rdf:type schema:ScholarlyArticle
    45 N178dd71c6c0746aeaae2d2c5c95ddeed rdf:first sg:person.016315530514.05
    46 rdf:rest Nab91b09f1262494aa44924fa8ad1af46
    47 N275931d9abe94e51842cf3f98d2972de rdf:first sg:person.014654454314.14
    48 rdf:rest N178dd71c6c0746aeaae2d2c5c95ddeed
    49 N3f6dd8e25df94006b05d7b3998c94a1b rdf:first sg:person.016237737543.10
    50 rdf:rest N599d732b953f4dbd8a3501fb9097cd56
    51 N4c5c221954ad4705a6681639720ba0c9 schema:affiliation https://www.grid.ac/institutes/grid.411966.d
    52 schema:familyName Mori
    53 schema:givenName Osamu
    54 rdf:type schema:Person
    55 N53185b034e7847d79a3bdf3be09a202a rdf:first N9fa0b53c0a2b45468e0516321d3a2110
    56 rdf:rest Ned8eb96529a2496cbd413392546c5c33
    57 N599d732b953f4dbd8a3501fb9097cd56 rdf:first sg:person.01115127761.64
    58 rdf:rest Nd5afed7371d2407ca078f0c8c1869291
    59 N5e8ce91345a84b02a5ae6a1926bc63a1 schema:volumeNumber 32
    60 rdf:type schema:PublicationVolume
    61 N60aaf61c3ba14fe78367284239b28ee5 rdf:first sg:person.016363643714.35
    62 rdf:rest N53185b034e7847d79a3bdf3be09a202a
    63 N71e0aea7b2d94b78ac5cd9a6015f6299 schema:issueNumber 9
    64 rdf:type schema:PublicationIssue
    65 N788fa3cab5434f70b41155d14b759974 rdf:first sg:person.01041303152.12
    66 rdf:rest N275931d9abe94e51842cf3f98d2972de
    67 N7aed434685484355ac875d50d6adcc25 rdf:first sg:person.016664720630.28
    68 rdf:rest N60aaf61c3ba14fe78367284239b28ee5
    69 N89100d7a17264cdfa06217c0a7ada81e schema:name pubmed_id
    70 schema:value 29915985
    71 rdf:type schema:PropertyValue
    72 N9fa0b53c0a2b45468e0516321d3a2110 schema:affiliation https://www.grid.ac/institutes/grid.411966.d
    73 schema:familyName Matsuo
    74 schema:givenName Yuta
    75 rdf:type schema:Person
    76 Nab91b09f1262494aa44924fa8ad1af46 rdf:first sg:person.011205420314.18
    77 rdf:rest N7aed434685484355ac875d50d6adcc25
    78 Nbbb80bb3575a45da8d322de63d4ae595 schema:name nlm_unique_id
    79 schema:value 8806653
    80 rdf:type schema:PropertyValue
    81 Nd018eac5ad0f481a92d962fd4841563c schema:name doi
    82 schema:value 10.1007/s00464-018-6266-1
    83 rdf:type schema:PropertyValue
    84 Nd5afed7371d2407ca078f0c8c1869291 rdf:first sg:person.01120771061.09
    85 rdf:rest rdf:nil
    86 Ndf26f470afcf4f00b2b07076437a0910 schema:name Springer Nature - SN SciGraph project
    87 rdf:type schema:Organization
    88 Ne15c5ec2cc06402289b2c647458954e2 schema:name readcube_id
    89 schema:value 1c5bb662cfc75e576fb87751d7294b76657f6494f571278cadde052a9d006a63
    90 rdf:type schema:PropertyValue
    91 Ne983385acab544e6be3f58b7451a8b3f schema:name dimensions_id
    92 schema:value pub.1104891405
    93 rdf:type schema:PropertyValue
    94 Ned8eb96529a2496cbd413392546c5c33 rdf:first N4c5c221954ad4705a6681639720ba0c9
    95 rdf:rest N3f6dd8e25df94006b05d7b3998c94a1b
    96 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
    97 schema:name Medical and Health Sciences
    98 rdf:type schema:DefinedTerm
    99 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
    100 schema:name Clinical Sciences
    101 rdf:type schema:DefinedTerm
    102 sg:journal.1098220 schema:issn 0930-2794
    103 1432-2218
    104 schema:name Surgical Endoscopy
    105 rdf:type schema:Periodical
    106 sg:person.01041303152.12 schema:affiliation https://www.grid.ac/institutes/grid.411966.d
    107 schema:familyName Fukunaga
    108 schema:givenName Tetsu
    109 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01041303152.12
    110 rdf:type schema:Person
    111 sg:person.01115127761.64 schema:affiliation https://www.grid.ac/institutes/grid.412764.2
    112 schema:familyName Enomoto
    113 schema:givenName Takeharu
    114 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01115127761.64
    115 rdf:type schema:Person
    116 sg:person.011205420314.18 schema:affiliation https://www.grid.ac/institutes/grid.411966.d
    117 schema:familyName Kanda
    118 schema:givenName Satoshi
    119 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011205420314.18
    120 rdf:type schema:Person
    121 sg:person.01120771061.09 schema:affiliation https://www.grid.ac/institutes/grid.412764.2
    122 schema:familyName Otsubo
    123 schema:givenName Takehito
    124 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01120771061.09
    125 rdf:type schema:Person
    126 sg:person.014654454314.14 schema:affiliation https://www.grid.ac/institutes/grid.411966.d
    127 schema:familyName Ishibashi
    128 schema:givenName Yuji
    129 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014654454314.14
    130 rdf:type schema:Person
    131 sg:person.016237737543.10 schema:affiliation https://www.grid.ac/institutes/grid.412764.2
    132 schema:familyName Mikami
    133 schema:givenName Shinya
    134 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016237737543.10
    135 rdf:type schema:Person
    136 sg:person.016315530514.05 schema:affiliation https://www.grid.ac/institutes/grid.411966.d
    137 schema:familyName Oka
    138 schema:givenName Shinichi
    139 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016315530514.05
    140 rdf:type schema:Person
    141 sg:person.016363643714.35 schema:affiliation https://www.grid.ac/institutes/grid.411966.d
    142 schema:familyName Kohira
    143 schema:givenName Yoshinori
    144 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016363643714.35
    145 rdf:type schema:Person
    146 sg:person.016664720630.28 schema:affiliation https://www.grid.ac/institutes/grid.411966.d
    147 schema:familyName Yube
    148 schema:givenName Yukinori
    149 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016664720630.28
    150 rdf:type schema:Person
    151 sg:pub.10.1007/s00464-008-0247-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008571886
    152 https://doi.org/10.1007/s00464-008-0247-8
    153 rdf:type schema:CreativeWork
    154 sg:pub.10.1007/s00464-012-2433-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1010873151
    155 https://doi.org/10.1007/s00464-012-2433-y
    156 rdf:type schema:CreativeWork
    157 sg:pub.10.1007/s00464-013-2869-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042695399
    158 https://doi.org/10.1007/s00464-013-2869-8
    159 rdf:type schema:CreativeWork
    160 sg:pub.10.1007/s00464-013-3370-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037095232
    161 https://doi.org/10.1007/s00464-013-3370-0
    162 rdf:type schema:CreativeWork
    163 sg:pub.10.1007/s00464-014-3836-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019718459
    164 https://doi.org/10.1007/s00464-014-3836-8
    165 rdf:type schema:CreativeWork
    166 sg:pub.10.1007/s00464-016-4783-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050078076
    167 https://doi.org/10.1007/s00464-016-4783-3
    168 rdf:type schema:CreativeWork
    169 sg:pub.10.1007/s00464-016-4872-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046401634
    170 https://doi.org/10.1007/s00464-016-4872-3
    171 rdf:type schema:CreativeWork
    172 sg:pub.10.1007/s10120-009-0508-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1047102474
    173 https://doi.org/10.1007/s10120-009-0508-9
    174 rdf:type schema:CreativeWork
    175 sg:pub.10.1007/s10120-011-0041-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1016436945
    176 https://doi.org/10.1007/s10120-011-0041-5
    177 rdf:type schema:CreativeWork
    178 sg:pub.10.1245/s10434-015-4417-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001053468
    179 https://doi.org/10.1245/s10434-015-4417-3
    180 rdf:type schema:CreativeWork
    181 https://app.dimensions.ai/details/publication/pub.1082689595 schema:CreativeWork
    182 https://doi.org/10.1016/s1072-7515(02)01239-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045440774
    183 rdf:type schema:CreativeWork
    184 https://doi.org/10.1097/01.sla.0000133083.54934.ae schema:sameAs https://app.dimensions.ai/details/publication/pub.1024049438
    185 rdf:type schema:CreativeWork
    186 https://doi.org/10.1097/sle.0b013e3181568e63 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046328067
    187 rdf:type schema:CreativeWork
    188 https://doi.org/10.1111/ases.12357 schema:sameAs https://app.dimensions.ai/details/publication/pub.1074231870
    189 rdf:type schema:CreativeWork
    190 https://doi.org/10.5230/jgc.2013.13.1.26 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001305375
    191 rdf:type schema:CreativeWork
    192 https://www.grid.ac/institutes/grid.411966.d schema:alternateName Juntendo University Hospital
    193 schema:name Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo, Japan
    194 rdf:type schema:Organization
    195 https://www.grid.ac/institutes/grid.412764.2 schema:alternateName St. Marianna University School of Medicine
    196 schema:name Department of Gastroenterological and General Surgery, St. Marianna University, School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, Japan
    197 rdf:type schema:Organization
     




    Preview window. Press ESC to close (or click here)


    ...