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 6 Characteristics of postoperative anastomotic leaks

Patient No.	Group	Day of diagnosis after surgery (d)	TLTG or TLDG	Tumor staging¹	Procedure used for patients	Time of placement of abdominal drainage tube (d)	Postoperative Hospital stays (d)
1	IMBT group	6	TLTG	IIB	Drainage	15	16
2	IMBT group	8	TLTG	IIIA	Second surgery + Drainage	20	21
3	Control group	4	TLTG	IA	Drainage	18	19
4	Control group	5	TLTG	IIA	Drainage	13	15
5	Control group	9	TLTG	IIB	Drainage	19	21
6	Control group	8	TLTG	IIB	Drainage	12	14
7	Control group	5	TLTG	IIIC	Drainage	18	20
8	Control group	3	TLTG	IIIC	Drainage	16	18
9	Control group	8	TLTG	IIB	Second surgery + Drainage	21	24
10	Control group	7	TLTG	IIIB	Second surgery + Drainage	22	25
11	Control group	7	TLTG	IIIC	Second surgery + Drainage	17	21
12	Control group	5	TLDG	IIIA	Drainage	12	14
13	Control group	3	TLDG	IIA	Second surgery + Drainage	17	18
14	Control group	3	TLDG	IIIA	Second surgery + Drainage	19	20
15	Control group	6	TLDG	IIIC	Second surgery + Drainage	20	23

¹According to the 8^thAJCC TNM staging system for gastric cancer. 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