Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Oncology Letters
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-1074 Online ISSN: 1792-1082
Journal Cover
January-2018 Volume 15 Issue 1

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
January-2018 Volume 15 Issue 1

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures

  • Authors:
    • Takaya Tokuhara
    • Eiji Nakata
    • Toshiyuki Tenjo
    • Isao Kawai
    • Keisaku Kondo
    • Hirofumi Ueda
    • Atsushi Tomioka
  • View Affiliations / Copyright

    Affiliations: Department of Surgery, Otori Stomach and Intestines Hospital, Osaka 593‑8311, Japan
    Copyright: © Tokuhara et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 229-234
    |
    Published online on: October 31, 2017
       https://doi.org/10.3892/ol.2017.7306
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

We report an option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy (TLDG) for gastric cancer. We detail a single‑layer suturing technique for the endoscopic linear stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures. From June 2013 to February 2017, we performed TLDG with delta‑shaped gastroduodenostomy in 20 patients with gastric cancer. The linear stapler was closed and fired to attach the posterior walls of the remnant stomach and the duodenum together. After creating a good view of the greater curvature side of the entry hole for the stapler by retracting the knotted suture on the lesser curvature side toward the ventral side, we performed single‑layer entire‑thickness continuous suturing of this hole using a 15‑cm‑long barbed suture running from the greater curvature side to the lesser curvature side. We placed the second and third stitches between the seromuscular layer of the remnant stomach and the entire‑thickness layer of the duodenum while suturing the duodenal mucosa as minutely as possible. In addition, we routinely added one or two entire‑thickness knotted sutures at the site near the greater curvature side. We placed similar additional knotted sutures at the site with a broad pitch. TLDG with this reconstruction technique was successfully performed in all patients with no occurrences of anastomotic leakage or intraabdominal abscess around the anastomosis. It is suggested that this method can be one option for delta‑shaped gastroduodenostomy in TLDG due to its cost-effectiveness and feasibility.
View Figures

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Figure 10

View References

1 

Kitano S, Iso Y, Moriyama M and Sugimachi K: Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 4:146–148. 1994.PubMed/NCBI

2 

Adachi Y, Shiraishi N, Shiromizu A, Bandoh T, Aramaki M and Kitano S: Laparoscopy-assisted Billroth I gastrectomy compared with conventional open gastrectomy. Arch Surg. 135:806–810. 2000. View Article : Google Scholar : PubMed/NCBI

3 

Kitano S, Shiraishi N, Fujii K, Yasuda K, Inomota M and Adachi Y: A randomized controlled trial comparing open vs. laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: An interim report. Surgery. 131(1 Suppl): S306–S311. 2002. View Article : Google Scholar : PubMed/NCBI

4 

Hayashi H, Ochiai T, Shimada H and Gunji Y: Prospective randomized study of open versus laparoscopy-assisted distal gastrectomy with extraperigastric lymph node dissection for early gastric cancer. Surg Endosc. 19:1172–1176. 2005. View Article : Google Scholar : PubMed/NCBI

5 

Naka T, Ishikura T, Shibata S, Yamaguchi Y, Ishiguro M, Yurugi E, Nishidoi H, Kudoh H, Murakami S and Tsujitani S: Laparoscopy-assisted and open distal gastrectomies for early gastric cancer at a general hospital in Japan. Hepatogastroenterology. 52:293–297. 2005.PubMed/NCBI

6 

Kim YW, Baik YH, Yun YH, Nam BH, Kim DH, Choi IJ and Bae JM: Improved quality of life outcomes after laparoscopy-assisted distal gastrectomy for early gastric cancer: Results of a prospective randomized clinical trial. Ann Surg. 248:721–727. 2008. View Article : Google Scholar : PubMed/NCBI

7 

Kanaya S, Gomi T, Momoi H, Tamaki N, Isobe H, Katayama T, Wada Y and Ohtoshi M: Delta-shaped anastomosis in totally laparoscopic Billroth I gastrectomy: New technique of intraabdominal gastroduodenostomy. J Am Coll Surg. 195:284–287. 2002. View Article : Google Scholar : PubMed/NCBI

8 

Takaori K, Nomura E, Mabuchi H, Lee SW, Agui T, Miyamoto Y, Iwamoto M, Watanabe H and Tanigawa N: A secure technique of intracorporeal Roux-Y reconstruction after laparoscopic distal gastrectomy. Am J Surg. 189:178–183. 2005. View Article : Google Scholar : PubMed/NCBI

9 

Kim JJ, Song KY, Chin HM, Kim W, Jeon HM, Park CH and Park SM: Totally laparoscopic gastrectomy with various types of intracorporeal anastomosis using laparoscopic linear staplers: Preliminary experience. Surg Endosc. 22:436–442. 2008. View Article : Google Scholar : PubMed/NCBI

10 

Song KY, Park CH, Kang HC, Kim JJ, Park SM, Jun KH, Chin HM and Hur H: Is totally laparoscopic gastrectomy less invasive than laparoscopy-assisted gastrectomy?: Prospective, multicenter study. J Gastrointest Surg. 12:1015–1021. 2008. View Article : Google Scholar : PubMed/NCBI

11 

Ikeda O, Sakaguchi Y, Aoki Y, Harimoto N, Taomoto J, Masuda T, Ohga T, Adachi E, Toh Y, Okamura T and Baba H: Advantages of totally laparoscopic distal gastrectomy over laparoscopically assisted distal gastrectomy for gastric cancer. Surg Endosc. 23:2374–2379. 2009. View Article : Google Scholar : PubMed/NCBI

12 

Kanaya S, Kawamura Y, Kawada H, Iwasaki H, Gomi T, Satoh S and Uyama I: The delta-shaped anastomosis in laparoscopic distal gastrectomy: Analysis of the initial 100 consecutive procedures of intracorporeal gastroduodenostomy. Gastric Cancer. 14:365–371. 2011. View Article : Google Scholar : PubMed/NCBI

13 

Kim MG, Kawada H and Kim BS, Kim TH, Kim KC, Yook JH and Kim BS: A totally laparoscopic distal gastrectomy with gastroduodenostomy (TLDG) for early surgical outcomes in hjgh BMI patients. Surg Endosc. 25:1076–1082. 2011. View Article : Google Scholar : PubMed/NCBI

14 

Kinoshita T, Shibasaki H, Oshiro T, Ooshiro M, Okazumi S and Katoh R: Comparison of laparoscopy-assisted and total laparoscopic Billroth-I gastrectomy for gastric cancer: A report of short-term outcomes. Surg Endosc. 25:1395–1401. 2011. View Article : Google Scholar : PubMed/NCBI

15 

Noshiro H, Iwasaki H, Miyasaka Y, Kobayashi K, Masatsugu T, Akashi M and Ikeda O: An additional suture secures against pitfalls in delta-shaped gastroduodenostomy after laparoscopic distal gastrectomy. Gastric Cancer. 14:385–389. 2011. View Article : Google Scholar : PubMed/NCBI

16 

Bouras G, Lee SW, Nomura E, Tokuhara T, Nitta T, Yoshinaka R, Tsunemi S and Tanigawa N: Surgical outcomes from laparoscopic distal gastrectomy and Roux-en-Y reconstruction: Evolution in a totally intracorporeal technique. Surg Laparosc Endosc Percutan Tech. 21:37–41. 2011. View Article : Google Scholar : PubMed/NCBI

17 

Lee SW, Tanigawa N, Nomura E, Tokuhara T, Kawai M, Yokoyama K, Hiramatsu M, Okuda J and Uchiyama K: Benefits of intracorporeal gastrointestinal anastomosis following laparoscopic distal gastrectomy. World J Surg Oncol. 10:2672012. View Article : Google Scholar : PubMed/NCBI

18 

Matsuhashi N, Yamaguchi K, Okumura N, Tanahashi T, Matsui S, Imai H, Tanaka Y, Takahashi T, Osada S and Yoshida K: The technical outcomes of delta-shaped anastomosis in laparoscopic distal gastrectomy: A single-center safety and feasible study. Surg Endosc. 31:1257–1263. 2017. View Article : Google Scholar : PubMed/NCBI

19 

Alessandri F, Remorgida V, Venturini PL and Ferrero S: Unidirectional barbed suture versus continuous suture with intracorporeal knots in laparoscopic myomectomy: A randomized study. J Minim Invasive Gynecol. 17:725–729. 2010. View Article : Google Scholar : PubMed/NCBI

20 

Shah HN, Nayyar R, Rajamahanty S and Hemal AK: Prospective evaluation of unidirectional barbed suture for various indications in surgeon-controlled robotic reconstructive urologic surgery: Wake Forest University experience. Int Urol Nephrol. 44:775–785. 2012. View Article : Google Scholar : PubMed/NCBI

21 

Japanese Gastric Cancer Association, . Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer. 14:101–112. 2011. View Article : Google Scholar : PubMed/NCBI

22 

Japanese Gastric Cancer Association, . Japanese gastric cancer treatment guidelines 2014 (ver. 4). Gastric Cancer. 20:1–19. 2017. View Article : Google Scholar

23 

Tokuhara T, Nakata E, Tenjo T, Kawai I, Satoi S, Inoue K, Araki M, Ueda H and Higashi C: A novel option for preoperative endoscopic marking with India ink in totally laparoscopic distal gastrectomy for gastric cancer: A useful technique considering the morphological characteristics of the stomach. Mol Clin Oncol. 6:483–486. 2017. View Article : Google Scholar : PubMed/NCBI

24 

Dindo D, Demartines N and Clavien PA: Classification of surgical complications: A new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 240:205–213. 2004. View Article : Google Scholar : PubMed/NCBI

25 

Lee SW, Nomura E, Tokuhara T, Kawai M, Matsuhashi N, Yokoyama K, Fujioka H, Hiramatsu M, Okuda J and Uchiyama K: Laparoscopic technique and initial experience with knotless, unidirectional barbed suture closure for staple-conseving, delta-shaped gastroduodenostomy after distal gastrectomy. J Am Coll Surg. 213:e39–e45. 2011. View Article : Google Scholar : PubMed/NCBI

26 

Tyner RP, Clifton GT and Fenton SJ: Hand-sewn gastrojejunostomy using knotless unidirectional barbed absorbable suture during laparoscopic gastric bypass. Surg Endosc. 27:1360–1366. 2013. View Article : Google Scholar : PubMed/NCBI

27 

Nemecek E, Negrin L, Beran C, Nemecek R and Hollinsky C: The application of the V-Loc closure device for gastrointestinal sutures: A preliminary study. Surg Endosc. 27:3830–3834. 2013. View Article : Google Scholar : PubMed/NCBI

28 

Facy O, De Blasi V, Goergen M, Arru L, De Magistris L and Azagra JS: Laparoscopic gastrointestinal anastomoses using knotless barbed sutures are safe and reproducible: A single-center experience with 201 patients. Surg Endosc. 27:3841–3845. 2013. View Article : Google Scholar : PubMed/NCBI

29 

Costantino F, Dente M, Perrin P, Sarhan FA and Keller P: Barbed unidirectional V-Loc 180 suture in laparoscopic Roux-en-Y gastric bypass: A study comparing unidirectional barbed monofilament and multifilament absorbable suture. Surg Endosc. 27:3846–3851. 2013. View Article : Google Scholar : PubMed/NCBI

30 

Thubert T, Pourcher G and Deffieux X: Small bowel volvulus following peritoneal closure using absorbable knotless device during laparoscopic sacral colpopexy. Int Urogynecol J. 22:761–763. 2011. View Article : Google Scholar : PubMed/NCBI

31 

Donnellan NM and Mansuria SM: Small bowel obstruction resulting from laparoscopic vaginal cuff closure with a barbed suture. J Minim Invasive Gynecol. 18:528–530. 2011. View Article : Google Scholar : PubMed/NCBI

32 

Buchs NC, Ostermann S, Hauser J, Roche B, Iselin CE and Morel P: Intestinal obstruction following use of laparoscopic barbed suture: A new complication with new material? Minim Invasive Ther Allied Technol. 21:369–371. 2012. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Tokuhara T, Nakata E, Tenjo T, Kawai I, Kondo K, Ueda H and Tomioka A: An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures. Oncol Lett 15: 229-234, 2018.
APA
Tokuhara, T., Nakata, E., Tenjo, T., Kawai, I., Kondo, K., Ueda, H., & Tomioka, A. (2018). An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures. Oncology Letters, 15, 229-234. https://doi.org/10.3892/ol.2017.7306
MLA
Tokuhara, T., Nakata, E., Tenjo, T., Kawai, I., Kondo, K., Ueda, H., Tomioka, A."An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures". Oncology Letters 15.1 (2018): 229-234.
Chicago
Tokuhara, T., Nakata, E., Tenjo, T., Kawai, I., Kondo, K., Ueda, H., Tomioka, A."An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures". Oncology Letters 15, no. 1 (2018): 229-234. https://doi.org/10.3892/ol.2017.7306
Copy and paste a formatted citation
x
Spandidos Publications style
Tokuhara T, Nakata E, Tenjo T, Kawai I, Kondo K, Ueda H and Tomioka A: An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures. Oncol Lett 15: 229-234, 2018.
APA
Tokuhara, T., Nakata, E., Tenjo, T., Kawai, I., Kondo, K., Ueda, H., & Tomioka, A. (2018). An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures. Oncology Letters, 15, 229-234. https://doi.org/10.3892/ol.2017.7306
MLA
Tokuhara, T., Nakata, E., Tenjo, T., Kawai, I., Kondo, K., Ueda, H., Tomioka, A."An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures". Oncology Letters 15.1 (2018): 229-234.
Chicago
Tokuhara, T., Nakata, E., Tenjo, T., Kawai, I., Kondo, K., Ueda, H., Tomioka, A."An option for delta-shaped gastroduodenostomy in totally laparoscopic distal gastrectomy for gastric cancer: A single‑layer suturing technique for the stapler entry hole using knotless barbed sutures combined with the application of additional knotted sutures". Oncology Letters 15, no. 1 (2018): 229-234. https://doi.org/10.3892/ol.2017.7306
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team