Digestive tract reconstruction options after laparoscopic gastrectomy for gastric cancer

Table 3 Summary of reconstruction procedures after laparoscopic total gastrectomy

Ref.	Publication year	LS or CS	EJS procedure	N	Length of surgery, min (mean ± SD or range)	Blood loss, mL (mean ± SD or range)	Anastomotic leakage (n)	Anastomotic stricture (n)
Tokuhara et al[99]	2018	CS	OrVilTM	24	NA	NA	1	2
Brenkman et al[114]	2016	CS	OrVilTM	47	301 (148–454)	300 (30–900)	7	NA
Ali et al[115]	2016	CS	RPM	58	199.8 ± 57.0	81.6 ± 40.3	3	5
Wang et al[96]	2015	CS	OrVilTM	42	287.8 ± 38.4	96.4 ± 32.7	0	2
			RPM	42	271.8 ± 46.1	88.2 ± 36.9	1	2
Li et al[103]	2017	CS	OrVilTM	19	NA	NA	0	1
			RPM	24	NA	NA	1	0
Lu et al[98]	2016	CS	OrVilTM	25	216.5 ± 24.9	141.2 ± 121.1	0	0
			LATG-PSI	25	224.0 ± 30.5	138.8 ± 79.9	0	0
Duan et al[116]	2017	CS	End-to-side EJS	176	250.0 ± 54.1	114.1 ± 74.0	7	11
			Semi-end-to-end EJS	92	238.0 ± 50.4 0.079	110.5 ± 82.8	1	0
Kyogoku et al[108]	2018	CS	OrVilTM / RPM	83	330 (123–627)	100 (0–1108)	3	6
		LS	FEEA/overlap	208	297 (171–553)	23 (0–1070)	4	7
Lee et al[117]	2017	LS	Overlap	50	144.6 ± 29.9	NA	0	0
Son et al[118]	2017	LS	Overlap	27	171.1 ± 50.9	119.4 ± 107.1	0	0
Kitagami et al[119]	2016	LS	Overlap	100	379 (248–649)	65 (5–750)	0	0
Miura et al[107]	2017	LS	FEEA	120	350.8	0	2	1
			Overlap	48	402.5	6.5	3	0
Yoshikawa et al[112]	2018	CS	OrVilTM	36	345 ± 9.9	45 ± 15	0	3
		LS	Overlap	47	398 ± 8	126 ± 13	2	0
Kawamura et al[97]	2017	CS	OrVilTM	49	259.5 ± 51.4	53.3 ± 70.0	2	2
		LS	Overlap	139	276.5 ± 53.0	69.7 ± 116.6	1	0
Yasukawa et al[100]	2017	CS	OrVilTM	51	346.1 ± 52.7	34 (10-556)	2	0
		LS	FEEA	18	348.4 ± 53.5	35 (10-750)	0	1
Gong et al[109]	2017	CS	NA	266	170 (65-453)	NA	15	3
		LS	NA	421	149 (75-342)	NA	15	2
Huang et al[110]	2017	CS	NA	456	203.6 ± 49.3	98.4 ± 149.1	22	4
		LS	IJOM (overlap)	51	209.3 ± 41.0	48.3 ± 38.5	1	0
Chen et al[111]	2016	CS	RPM	18	305.6 ± 45.9 (250-380)	80.6 ± 29.4 (50-160)	1	1
		LS	FEEA	22	266.8 ± 38.7 (230-360)	86.4 ± 39.7 (50-200)	0	0
Kim et al[120]	2016	CS	PSI	29	230.3 ± 56.5	106.3 ± 70.3	0	1
		LS	Overlap	27	228.9 ± 33.6	90.9 ± 46.0	1	0
Chen et al[88]	2016	CS + LS	CS + LS	40	284.3 ± 45.6 (230–380)	83.8 ± 35.2 (30–200)	1	3
			Hand-sewn	59	257.4 ± 47.2 (170–350)	87.6 ± 42.4 (30–200)	0	0

CS: Circular stapler; LS: Linear stapler; RPM: Reverse puncture method; EJS: Esophagojejunostomy; FEEA: Functional end-to-end anastomosis; PSI: Purse-string instrument; IJOM: Isoperistaltic jejunum-later-cut overlap method; NA: Not available.