Evidence map›Paper›PMID 27699517›Full record

ArticleSurgical endoscopy2017

Modified overlap method using knotless barbed sutures (MOBS) for intracorporeal esophagojejunostomy after totally laparoscopic gastrectomy.

Sang-Yong Son, Long-Hai Cui, Ho-Jung Shin, Cheulsu Byun, Hoon Hur, Sang-Uk Han, Yong Kwan Cho

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Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

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23citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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  11. [Reconstruction following gastrectomy].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sang-Yong SonDepartment of Surgery, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-749, Korea.
Long-Hai CuiDepartment of Surgery, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-749, Korea.
Ho-Jung ShinDepartment of Surgery, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-749, Korea.
Cheulsu ByunDepartment of Surgery, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-749, Korea.
Hoon HurDepartment of Surgery, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-749, Korea.
Sang-Uk HanDepartment of Surgery, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-749, Korea. hansu@ajou.ac.kr.
Yong Kwan ChoDepartment of Surgery, Ajou University School of Medicine, 206 Worldcup-ro, Yeongtong-gu, Suwon, 443-749, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared to end-to-side anastomosis with a circular stapler, the overlap method is favored for intracorporeal esophagojejunostomy because it facilitates handling of the stapler, even in narrow spaces, and wider anastomosis. However, it associates with technical difficulties during anastomosis, including difficult traction on the esophageal stump that necessitates stay sutures. Here, we introduce a new modified overlap method that employs knotless barbed sutures (MOBS) and report the outcomes of our case series.

methodAll consecutive patients who underwent intracorporeal esophagojejunostomy in 2015-2016 were included. All patients underwent surgery as follows: After esophageal transection with a linear stapler, two V-loc 90 sutures (Covidien, Mansfield, MA, USA) were sutured in the center of the stapled line. The opening was made between the two threads, and the intraluminal space was identified. The jejunum was ascended toward the esophageal stump by inserting a 45-mm-long linear staple. The anastomosis was made at the space between the right and left crura. After firing the linear stapler, the entry hole was closed bidirectionally using the pre-sutured threads.

resultsForty patients underwent MOBS (27 by laparoscopy; 13 by robot). Mean total operative and MOBS procedural times were 180.6 and 22.4 min, respectively. Mean hospital stay was 6.9 days. Two patients had major complications (5.0 %). There were no anastomosis-related complications. Laparoscopy and robot subgroups did not differ in mean MOBS procedural times (22.2 vs. 22.7 min, p = 0.787).

conclusionMOBS is a safe and feasible method that is a good option for intracorporeal esophagojejunostomy after laparoscopic gastrectomy.

Indexed as

SuturesSuture TechniquesAgedAnastomosis, SurgicalEsophagoplastyEsophagusFemaleGastrectomyHumansIntestinesJejunostomyJejunumLaparoscopyLength of StayMaleMiddle AgedEsophagojejunostomyGastric cancerLaparoscopic surgery

Identifiers

PMID27699517

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.