New totally intracorporeal reconstructive approach after robotic total gastrectomy: Technical details and short-term outcomes.

Abstract:

AIM:To show outcomes of our series of patients that underwent a total gastrectomy with a robotic approach and highlight the technical details of a proposed solution for the reconstruction phase. METHODS:Data of gastrectomies performed from May 2014 to October 2016, were extracted and analyzed. Basic characteristics of patients, surgical and clinical outcomes were reported. The technique for reconstruction (Parisi Technique) consists on a loop of bowel shifted up antecolic to directly perform the esophago-enteric anastomosis followed by a second loop, measured up to 40 cm starting from the esojejunostomy, fixed to the biliary limb to create an enteroenteric anastomosis. The continuity between the two anastomoses is interrupted just firing a linear stapler, so obtaining the Roux-en-Y by avoiding to interrupt the mesentery. RESULTS:Fifty-five patients were considered in the present analysis. Estimated blood loss was 126.55 ± 73 mL, no conversions to open surgery occurred, R0 resections were obtained in all cases. Hospital stay was 5 (3-17) d, no anastomotic leakage occurred. Overall, a fast functional recovery was shown with a median of 3 (3-6) d in starting a solid diet. CONCLUSION:Robotic surgery and the adoption of a tailored reconstruction technique have increased the feasibility and safety of a minimally invasive approach for total gastrectomy. The present series of patients shows its implementation in a western center with satisfying short-term outcomes.

journal_name

World J Gastroenterol

authors

Parisi A,Ricci F,Gemini A,Trastulli S,Cirocchi R,Palazzini G,D'Andrea V,Desiderio J

doi

10.3748/wjg.v23.i23.4293

subject

Has Abstract

pub_date

2017-06-21 00:00:00

pages

4293-4302

issue

23

eissn

1007-9327

issn

2219-2840

journal_volume

23

pub_type

杂志文章
  • Autoimmune hepatitis, one disease with many faces: etiopathogenetic, clinico-laboratory and histological characteristics.

    abstract::Autoimmune hepatitis (AIH) is an unresolving progressive liver disease of unknown etiology characterized by hypergammaglobulinemia, autoantibodies detection and interface hepatitis. Due to the absence of specific diagnostic markers and the large heterogeneity of its clinical, laboratory and histological features, AIH ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v21.i1.60

    authors: Gatselis NK,Zachou K,Koukoulis GK,Dalekos GN

    更新日期:2015-01-07 00:00:00

  • Effect of interleukin-10 and platelet-derived growth factor on expressions of matrix metalloproteinases-2 and tissue inhibitor of metalloproteinases-1 in rat fibrotic liver and cultured hepatic stellate cells.

    abstract:AIM:To examine the expressions of matrix metalloproteinases-2 (MMP-2) and tissue inhibitor of metalloproteinases-1 (TIMP-1) in rat fibrotic liver and in normal rat hepatic stellate cells, and to investigate the changes in their expressions in response to treatment with interleukin-10 (IL-10) and platelet-derived growth...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v10.i17.2574

    authors: Zhang LJ,Chen YX,Chen ZX,Huang YH,Yu JP,Wang XZ

    更新日期:2004-09-01 00:00:00

  • Antiviral therapy delays esophageal variceal bleeding in hepatitis B virus-related cirrhosis.

    abstract:AIM:To investigate the effect of antiviral therapy with nucleoside analogs in hepatitis B virus (HBV)-related cirrhosis and esophageal varices. METHODS:Eligible patients with HBV-related cirrhosis and esophageal varices who consulted two tertiary hospitals in Beijing, China, the Chinese Second Artillery General Hospit...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,多中心研究

    doi:10.3748/wjg.v19.i40.6849

    authors: Li CZ,Cheng LF,Li QS,Wang ZQ,Yan JH

    更新日期:2013-10-28 00:00:00

  • Management of hepatocellular carcinoma with portal vein thrombosis.

    abstract::Management of hepatocellular carcinoma (HCC) with portal vein thrombosis (PVT) is complex and requires an understanding of multiple therapeutic options. PVT is present in 10%-40% of HCC at the time of diagnosis, and is an adverse prognostic factor. Management options are limited, as transplantation is generally contra...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v21.i12.3462

    authors: Quirk M,Kim YH,Saab S,Lee EW

    更新日期:2015-03-28 00:00:00

  • Helicobacter pylori eradication therapy for functional dyspepsia: Systematic review and meta-analysis.

    abstract:AIM:To evaluate whether Helicobacter pylori (H. pylori) eradication therapy benefits patients with functional dyspepsia (FD). METHODS:Randomized controlled trials (RCTs) investigating the efficacy and safety of H. pylori eradication therapy for patients with functional dyspepsia published in English (up to May 2015) w...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,meta分析,评审

    doi:10.3748/wjg.v22.i12.3486

    authors: Du LJ,Chen BR,Kim JJ,Kim S,Shen JH,Dai N

    更新日期:2016-03-28 00:00:00

  • Expression of HIF-2alpha/EPAS1 in hepatocellular carcinoma.

    abstract:AIM:To investigate the expression of hypoxia-inducible factor (HIF)-2alpha/endothelial PAS domain protein1 (EPAS1) in hepatocellular carcinoma (HCC). METHODS:Expression of HIF-2alpha/EPAS1 was investigated immunohistochemically on paraffin-embedded sections from 97 patients with HCC. To further confirm that HIF-2alpha...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v10.i4.525

    authors: Bangoura G,Yang LY,Huang GW,Wang W

    更新日期:2004-02-15 00:00:00

  • Placement of prophylactic pancreatic stents to prevent post-endoscopic retrograde cholangiopancreatography pancreatitis in high-risk patients: a meta-analysis.

    abstract:AIM:To assess the effectiveness of pancreatic stents for preventing pancreatitis in high-risk patients after endoscopic retrograde cholangiopancreatography (ERCP). METHODS:PubMed, Embase, Science Citation Index, and Cochrane Controlled Trials Register were searched to identify relevant trials published in English. Inc...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,meta分析,评审

    doi:10.3748/wjg.v20.i22.7040

    authors: Shi QQ,Ning XY,Zhan LL,Tang GD,Lv XP

    更新日期:2014-06-14 00:00:00

  • Examining pathogenic concepts of autoimmune hepatitis for cues to future investigations and interventions.

    abstract::Multiple pathogenic mechanisms have been implicated in autoimmune hepatitis, but they have not fully explained susceptibility, triggering events, and maintenance or escalation of the disease. Furthermore, they have not identified a critical defect that can be targeted. The goals of this review are to examine the diver...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v25.i45.6579

    authors: Czaja AJ

    更新日期:2019-12-07 00:00:00

  • Decreased levels of plasma adiponectin associated with increased risk of colorectal cancer.

    abstract:AIM:To investigate the association between adiponectin levels and risk of colorectal adenoma and cancer (early and advanced). METHODS:A cross-sectional study in a cohort of hospital-based patients was conducted between January 2004 and March 2006 at Yamagata University Hospital. Male subjects, who had colorectal tumor...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v16.i10.1252

    authors: Otake S,Takeda H,Fujishima S,Fukui T,Orii T,Sato T,Sasaki Y,Nishise S,Kawata S

    更新日期:2010-03-14 00:00:00

  • Resolution of chronic hepatitis C following parasitosis.

    abstract::An inefficient cellular immune response likely leads to chronic hepatitis C virus (HCV) infection. Resolution of chronic HCV infection in the absence of treatment is a rare occurrence. We report the case of a 39-year old white male with a 17-year history of chronic HCV infection, who eradicated HCV following a serious...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v13.i31.4268

    authors: Byrnes V,Chopra S,Koziel MJ

    更新日期:2007-08-21 00:00:00

  • Excision of a large abdominal wall lipoma improved bowel passage in a Proteus syndrome patient.

    abstract::Proteus syndrome is an extremely rare congenital disorder that produces multifocal overgrowth of tissue. This report presents a surgical case of a large lipoma in the abdominal wall of a patient with Proteus syndrome. She was diagnosed with Proteus syndrome based on certain diagnostic criteria. The neoplasm increased ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.15.3312

    authors: Nakayama Y,Kusuda S,Nagata N,Yamaguchi K

    更新日期:2009-07-14 00:00:00

  • High-flow nasal oxygen availability for sedation decreases the use of general anesthesia during endoscopic retrograde cholangiopancreatography and endoscopic ultrasound.

    abstract:AIM:To examine whether high-flow nasal oxygen (HFNO) availability influences the use of general anesthesia (GA) in patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) and associated outcomes. METHODS:In this retrospective study, patients were stratified into 3 eras...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v22.i47.10398

    authors: Schumann R,Natov NS,Rocuts-Martinez KA,Finkelman MD,Phan TV,Hegde SR,Knapp RM

    更新日期:2016-12-21 00:00:00

  • Significance of expression of heat shock protein90alpha in human gastric cancer.

    abstract:AIM:To evaluate the significance of hsp90alpha expression in human gastric cancer tissues. METHODS:Immunohistochemical staining was used in clinical specimens from 33 cases of gastric cancer and 33 cases of gastritis with rabbit anti-human hsp90alpha multi-clonal antibody in order to explore the relationship between t...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v9.i11.2616

    authors: Zuo DS,Dai J,Bo AH,Fan J,Xiao XY

    更新日期:2003-11-01 00:00:00

  • Colorectal cancer and immunity: what we know and perspectives.

    abstract::Strong evidence supports the concept of immunosurveillance and immunoediting in colorectal cancer. In particular, the density of T CD8⁺ and CD45⁺ lymphocyte infiltration was recently shown to have a better prognostic value than the classic tumor node metastasis classification factor. Other immune subsets, as macrophag...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v20.i14.3738

    authors: Pernot S,Terme M,Voron T,Colussi O,Marcheteau E,Tartour E,Taieb J

    更新日期:2014-04-14 00:00:00

  • Is NEDD4-1 a negative regulator of phosphatase and tensin homolog in gastric carcinogenesis?

    abstract::The expression of phosphatase and tensin homolog (PTEN), a tumor suppressor gene, is frequently down-regulated in gastric carcinomas due to mutation, loss of heterozygosity, and promoter hypermethylation. However, it is unknown if additional mechanisms may account for the down-regulation of PTEN expression. While neur...

    journal_title:World journal of gastroenterology

    pub_type: 信件

    doi:10.3748/wjg.v18.i43.6345

    authors: Yang Z,Yuan XG,Chen J,Lu NH

    更新日期:2012-11-21 00:00:00

  • Inguinodynia following Lichtenstein tension-free hernia repair: a review.

    abstract::Chronic groin pain (Inguinodynia) following inguinal hernia repair is a significant, though under-reported problem. Mild pain lasting for a few days is common following mesh inguinal hernia repair. However, moderate to severe pain persisting more than 3 mo after inguinal herniorrhaphy should be considered as pathologi...

    journal_title:World journal of gastroenterology

    pub_type: 社论,评审

    doi:10.3748/wjg.v17.i14.1791

    authors: Hakeem A,Shanmugam V

    更新日期:2011-04-14 00:00:00

  • Seek protein which can interact with hepatitis B virus X protein from human liver cDNA library by yeast two-hybrid system.

    abstract:AIM:To seek the X associated protein (XAP) with the constructed bait vector pAS2-1X from normal human liver cDNA library. METHODS:The X region of the HBV gene was amplied by PCR and cloned into the eukaryotic expression vector pAS2-1. The reconstituted plasmid pAS2-1X was transformed into the yeast cells and the expre...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v8.i1.95

    authors: Wang XZ,Jiang XR,Chen XC,Chen ZX,Li D,Lin JY,Tao QM

    更新日期:2002-02-01 00:00:00

  • Colorectal and interval cancers of the Colorectal Cancer Screening Program in the Basque Country (Spain).

    abstract:AIM:To assess proportions, related conditions and survival of interval cancer (IC). METHODS:The programme has a linkage with different clinical databases and cancer registers to allow suitable evaluation. This evaluation involves the detection of ICs after a negative faecal inmunochemical test (FIT), interval cancer F...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v23.i15.2731

    authors: Portillo I,Arana-Arri E,Idigoras I,Bilbao I,Martínez-Indart L,Bujanda L,Gutierrez-Ibarluzea I

    更新日期:2017-04-21 00:00:00

  • Basaloid squamous carcinoma of esophagus:a clinicopathological, immunohistochemical and electron microscopic study of sixteen cases.

    abstract::AIM:To further clarify the clinicopathological, immunohistochemical and electron microscopic features, and prognostic aspect of basaloid squamous carcinoma (BSC), a rare esophageal carcinoma.METHODS:We reviewed 763 documented cases of esophageal malignancies from year (1977-1996) from our hospital, and discovered 16 (...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v4.i5.397

    authors: Zhang XH,Sun GQ,Zhou XJ,Guo HF,Zhang TH

    更新日期:1998-10-01 00:00:00

  • Management of sub-centimeter recurrent hepatocellular carcinoma after curative treatment: Current status and future.

    abstract::Hepatocellular carcinomas (HCCs) frequently recur despite initial successful surgical resection or local ablation therapy. Diagnostic methods for small HCCs have improved with the introduction of gadoxetic acid-enhanced liver magnetic resonance imaging and diffusion-weighted imaging (DWI). Currently, sub-centimeter re...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v24.i46.5215

    authors: Lee MW,Lim HK

    更新日期:2018-12-14 00:00:00

  • Effects of Bifidobacterium infantis on cytokine-induced neutrophil chemoattractant and insulin-like growth factor-1 in the ileum of rats with endotoxin injury.

    abstract:BACKGROUND:The digestive tract is the maximal immunizing tissue in the body, and mucosal integrity and functional status of the gut is very important to maintain a healthy organism. Severe infection is one of the most common causes of gastrointestinal dysfunction, and the pathogenesis is closely related to endotoxemia ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v25.i23.2924

    authors: Wang W,Sun M,Zheng YL,Sun LY,Qu SQ

    更新日期:2019-06-21 00:00:00

  • Molecular markers (PECAM-1, ICAM-3, HLA-DR) determine prognosis in primary non-Hodgkin's gastric lymphoma patients.

    abstract:AIM:To investigate the prognostic significance of PECAM-1, ICAM-3 and HLA-DR antigens in patients with primary non-Hodgkin's gastric lymphoma. METHODS:We immunohistochemically studied PECAM-1, ICAM-3 and HLA-DR antigen expression in 36 B-cell MALT-type primary gastric lymphoma patients. Ten non-malignant and ten healt...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v12.i12.1924

    authors: Darom A,Gomatos IP,Leandros E,Chatzigianni E,Panousopoulos D,Konstadoulakis MM,Androulakis G

    更新日期:2006-03-28 00:00:00

  • Transnasal endoscopic retrograde chalangiopancreatography using an ultrathin endoscope: a prospective comparison with a routine oral procedure.

    abstract:AIM:To investigate if transnasal endoscopic retrograde cholangiopancreatography (n-ERCP) using an ultrathin forward-viewing scope may overcome the disadvantages of conventional oral ERCP (o-ERCP) related to the large-caliber side-viewing duodenoscope. METHODS:The study involved 50 patients in whom 25 cases each were a...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.14.1514

    authors: Mori A,Ohashi N,Maruyama T,Tatebe H,Sakai K,Shibuya T,Inoue H,Takegoshi S,Okuno M

    更新日期:2008-03-14 00:00:00

  • Effect of heme oxygenase-1 on renal function in rats with liver cirrhosis.

    abstract:AIM:To investigate the role of heme oxygenase-1 (HO-1) in pathogenesis of experimental hepatorenal syndrome (HRS). METHODS:Rats were divided into liver cirrhotic group, zinc protoporphyrin IX (ZnPP) treatment group, cobalt protoporphyrin (CoPP) treatment group and sham group. Biliary cirrhosis was established by bile ...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v17.i3.322

    authors: Guo SB,Duan ZJ,Li Q,Sun XY

    更新日期:2011-01-21 00:00:00

  • Genetic variants of interferon regulatory factor 5 associated with chronic hepatitis B infection.

    abstract:AIM:To investigate possible effects of IRF5 polymorphisms in the 3' UTR region of the IFR5 locus on susceptibility to hepatitis B virus (HBV) infection and progression of liver diseases among clinically classified Vietnamese patients. METHODS:Four IFR5 SNPs (rs13242262A/T, rs77416878C/T, rs10488630A/G, and rs2280714T/...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v24.i2.248

    authors: Sy BT,Hoan NX,Tong HV,Meyer CG,Toan NL,Song LH,Bock CT,Velavan TP

    更新日期:2018-01-14 00:00:00

  • PillCam COLON 2 in Crohn's disease: A new concept of pan-enteric mucosal healing assessment.

    abstract:AIM:To evaluate mucosal healing in patients with small bowel plus colonic Crohn's disease (CD) with a single non-invasive examination, by using PillCam COLON 2 (PCC2). METHODS:Patients with non-stricturing nonpenetrating small bowel plus colonic CD in sustained corticosteroid-free remission were included. At diagnosis...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v21.i23.7233

    authors: Boal Carvalho P,Rosa B,Dias de Castro F,Moreira MJ,Cotter J

    更新日期:2015-06-21 00:00:00

  • Current treatment for liver metastases from colorectal cancer.

    abstract::The liver is the commonest site of distant metastasis of colorectal cancer and nearly half of the patients with colorectal cancer ultimately develop liver involved during the course of their diseases. Surgery is the only therapy that offers the possibility of cure for patients with hepatic metastatic diseases. Five-ye...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章,评审

    doi:10.3748/wjg.v9.i2.193

    authors: Liu LX,Zhang WH,Jiang HC

    更新日期:2003-02-01 00:00:00

  • Hepatogenic differentiation of human mesenchymal stem cells from adipose tissue in comparison with bone marrow mesenchymal stem cells.

    abstract:AIM:To investigate and compare the hepatogenic transdifferentiation of adipose tissue-derived stem cells (ADSC) and bone marrow-derived mesenchymal stem cells (BMSC) in vitro. Transdifferentiation of BMSC into hepatic cells in vivo has been described. Adipose tissue represents an accessible source of ADSC, with similar...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v12.i36.5834

    authors: Taléns-Visconti R,Bonora A,Jover R,Mirabet V,Carbonell F,Castell JV,Gómez-Lechón MJ

    更新日期:2006-09-28 00:00:00

  • Pediatric nonalcoholic fatty liver disease: overview with emphasis on histology.

    abstract::Nonalcoholic fatty liver disease (NAFLD) is a disease in which excessive fat accumulates in the liver of a patient without a history of alcohol abuse. This disease includes simple steatosis and nonalcoholic steatohepatitis (NASH). NAFLD/NASH is recognized as a hepatic manifestation of metabolic syndrome. In recent yea...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v16.i42.5280

    authors: Takahashi Y,Fukusato T

    更新日期:2010-11-14 00:00:00

  • Distribution of trace metal concentrations in paired cancerous and non-cancerous human stomach tissues.

    abstract:AIM:To assess whether trace metal concentrations (which influence metabolism as both essential and non-essential elements) are increased or decreased in cancerous tissues and to understand the precise role of these metals in carcinogenesis. METHODS:Concentrations of trace metals including Cd, Ni, Cu, Zn, Fe, Mg and Ca...

    journal_title:World journal of gastroenterology

    pub_type: 杂志文章

    doi:10.3748/wjg.v13.i4.612

    authors: Yaman M,Kaya G,Yekeler H

    更新日期:2007-01-28 00:00:00