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Surgical Endoscopy
Published in: Surgical Endoscopy 4/2011

01-04-2011

Application of the transorally inserted anvil (OrVil™) after laparoscopy-assisted total gastrectomy

Authors: Chikara Kunisaki, Hirochika Makino, Takashi Oshima, Shoichi Fujii, Jun Kimura, Ryo Takagawa, Takashi Kosaka, Hirotoshi Akiyama, Satoshi Morita, Itaru Endo

Published in: Surgical Endoscopy | Issue 4/2011

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Abstract

Background

Laparoscopy-assisted total gastrectomy (LATG) is not a commonly performed procedure due to the surgical difficulty associated with reconstruction. Although various reconstruction methods have been reported, a standard technique has not yet been established. In this study, we compared the short-term outcomes of LATG reconstructed by mini-laparotomy and by the newly developed transorally inserted anvil (OrVil™).

Methods

From April 2006, a series of 45 patients underwent LATG. Of these, 15 were reconstructed by mini-laparotomy and 30 by OrVil™. Short-term outcomes were compared between the two groups.

Results

Operation time was significantly shortened and intraoperative blood loss significantly reduced by the use of OrVil™. The postoperative course, including morbidity, did not differ between the two groups.

Conclusions

LATG using OrVil™ for the treatment of early gastric cancer is a technically feasible surgical procedure with sufficient lymph node dissection, satisfactory early recovery, and acceptable morbidity. It will be necessary to perform this novel technique in a large number of patients to confirm its feasibility.
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Metadata
Title
Application of the transorally inserted anvil (OrVil™) after laparoscopy-assisted total gastrectomy
Authors
Chikara Kunisaki
Hirochika Makino
Takashi Oshima
Shoichi Fujii
Jun Kimura
Ryo Takagawa
Takashi Kosaka
Hirotoshi Akiyama
Satoshi Morita
Itaru Endo
Publication date
01-04-2011
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 4/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-010-1367-5

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