Case Control Study
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World J Gastroenterol. Aug 14, 2014; 20(30): 10478-10485
Published online Aug 14, 2014. doi: 10.3748/wjg.v20.i30.10478
Comparision of modified and conventional delta-shaped gastroduodenostomy in totally laparoscopic surgery
Chang-Ming Huang, Mi Lin, Jian-Xian Lin, Chao-Hui Zheng, Ping Li, Jian-Wei Xie, Jia-Bin Wang, Jun Lu
Chang-Ming Huang, Mi Lin, Jian-Xian Lin, Chao-Hui Zheng, Ping Li, Jian-Wei Xie, Jia-Bin Wang, Jun Lu, Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China
Author contributions: Huang CM, Lin M and Lin JX conceived of and designed the study; Lin M, Lin JX, Li P, Xie JW, Wang JB and Lu J helped collect the data; Lin M analyzed the data and wrote the paper; Huang CM and Zheng CH helped revise the paper critically for important intellectual content.
Supported by National Key Clinical Specialty Discipline Construction Program of China, No. (2012) 649
Correspondence to: Chang-Ming Huang, MD, Department of Gastric Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou 350001, Fujian Province, China. hcmlr2002@163.com
Telephone: +86-591-83363366 Fax: +86-591-83320319
Received: March 26, 2014
Revised: June 11, 2014
Accepted: July 11, 2014
Published online: August 14, 2014
Core Tip

Core tip: A modified delta-shaped gastroduodenostomy (DSG) technique was introduced to reduce surgical trauma in patients undergoing totally laparoscopic distal gastrectomy (TLDG) for gastric cancer (GC). The clinicopathological characteristics, surgical outcomes, anastomosis times and complications of the patients undergoing conventional and modified DSG (Con-Group, n = 22 vs Mod-Group, n = 41) were retrospectively compared using a prospectively maintained comprehensive database to evaluate the safety and feasibility of the procedure. The results of the study confirmed that the modified DSG was technically safe and feasible, with a simpler process that reduced the anastomosis time. The modified DSG may be an alternative reconstruction in TLDG for GC.