How to examine anastomotic integrity intraoperatively in totally laparoscopic radical gastrectomy? Methylene blue testing prevents technical defect-related anastomotic leaks

doi:10.4240/wjgs.v14.i4.315

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Apr 27, 2022 (publication date) through Feb 5, 2025

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Apr 27, 2022; 14(4): 315-328
Published online Apr 27, 2022. doi: 10.4240/wjgs.v14.i4.315

Table 2 Characteristics of positive intraoperative methylene blue testing

Patient No.	Location of leak on anastomotic wall	Operation model	Dehiscence	Management	PAL	Postoperative hospital stays (d)
1	Posterior wall	TLTG	Present	Suturing	No	10
2	Posterior wall	TLTG	Absent	Suturing	No	9
3	Posterior wall	TLTG	Absent	Suturing	No	11
4	Joint opening	TLTG	Absent	Suturing	No	10
5	Joint opening	TLTG	Absent	Suturing	No	11
6	Left wall	TLDG	Absent	Suturing	No	12
7	Left wall	TLDG	Present	Suturing	No	9

IMBT: Intraoperative methylene blue testing; PAL: Postoperative anastomotic leak; TLTG: Totally laparoscopic total gastrectomy; TLDG: Totally laparoscopic distal gastrectomy.

Citation: Deng C, Liu Y, Zhang ZY, Qi HD, Guo Z, Zhao X, Li XJ. How to examine anastomotic integrity intraoperatively in totally laparoscopic radical gastrectomy? Methylene blue testing prevents technical defect-related anastomotic leaks . World J Gastrointest Surg 2022; 14(4): 315-328
URL: https://www.wjgnet.com/1948-9366/full/v14/i4/315.htm
DOI: https://dx.doi.org/10.4240/wjgs.v14.i4.315