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Surgical Technique and Safety of Gastrectomy for Gastric Cancer with Duodenal Invasion, Including Minimally Invasive Approach.
J Gastrointest Surg
December 2024
Division of Gastrointestinal Surgery, Department of Surgery, Graduate School of Medicine, Kobe University, 7-5-2, Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017, Japan. Electronic address:
Background: Gastrectomy for gastric cancer with duodenal invasion poses an oncological (high positive rate of resection line infiltration) and a surgical (high risk of duodenal fistula) challenge. The purpose of this study was to validate the safety of gastrectomy for gastric cancer with duodenal invasion.
Methods: We included 82 patients with distal gastric cancer who underwent gastrectomy and reconstruction via the Bill-II or R-Y procedure at Kobe University Hospital between 2011 and 2021 were retrospectively reviewed.
Gastric remnant volvulus following gastric sleeve conversion to Roux-en-Y gastric bypass: a case report.
J Minim Invasive Surg
December 2024
Department of Bariatric Surgery, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA.
Gastric remnant volvulus following Roux-en-Y gastric bypass (RYGB) surgery is rare, with only two previously reported cases. Herein, we present the first case of gastric remnant volvulus following gastric sleeve conversion to RYGB in a 32-year-old female. Management for gastric remnant volvulus has not been clearly described in the literature due to the rarity of cases; however, previously documented cases of gastric remnant volvulus following RYGB were managed with gastropexy or resection of the gastric remnant.
View Article and Find Full Text PDF[A Case of Necrosis of the Gastric Remnant Following Laparoscopic Distal Gastrectomy].
Gan To Kagaku Ryoho
October 2024
Dept. of Digestive Surgery, Fujisawa City Hospital.
An 80-year-old man underwent laparoscopic distal gastrectomy, D2 lymphadenectomy, and Billroth Ⅰ reconstruction for gastric cancer. The short gastric artery and vein were completely preserved. The patient developed a fever on the second postoperative day, and a blood test on the third day showed high inflammation findings, and contrast-enhanced CT scan revealed decreased gastric wall blood flow of the anal side of the remnant stomach.
View Article and Find Full Text PDFLaparoscopic distal pancreatectomy with pancreatic remnant-gastric coverage: a modified technique to reduce postoperative pancreatic fistula.
Surg Endosc
January 2025
Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Lihuili Hospital of Ningbo University, 57 Xingning Road, Ningbo, Zhejiang, China.
Article Synopsis
- A retrospective study evaluated the safety and effectiveness of a modified technique for managing pancreatic remnants during laparoscopic distal pancreatectomy (LDP) in 63 patients at a hospital in Ningbo University.
- Patients were divided into two groups: one using the new gastric coverage technique and the other a standard stapler-and-hand-sewn method for closing the pancreatic remnant.
- The results showed the experimental group had significantly lower rates of postoperative pancreatic fistula (POPF) compared to the control group, indicating the modified technique may be more effective in reducing complications without affecting other surgical parameters.
Simpler and safer anastomosis by pancreaticogastrostomy using a linear stapler after pancreaticoduodenectomy.
Medicine (Baltimore)
November 2024
Department of Surgery, Tsuru Municipal Hospital, Tsuru City, Yamanashi, Japan.
Postoperative pancreatic fistula (POPF) remains a major and serious problem after pancreaticoduodenectomy (PD). In its presence, pancreatic juice may leak from the main duct or branches of the pancreatic stump. To prevent this, we have applied a newly modified anastomosis of pancreaticogastrostomy (PG) using a linear stapler (stapled PG).
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