On April 26, our surgical team successfully carried out a total laparoscopic radical surgery for distal gastric cancer using the most advanced “triangle anastomosis” in the world. This surgery was the first case of total laparoscopic radical surgery for distal gastric cancer using “triangle anastomosis” in Henan Province, which completed the reconstruction of digestive tract and achieved satisfactory results. The patient was 63 years old, and was diagnosed with gastric sinus cancer. After preoperative preparation, she was operated on April 26
After preoperative preparation, she underwent a total laparoscopic radical surgery for gastric sinus cancer using the triangular anastomosis technique on April 26. On the day after surgery, she could drink water and get out of bed, and on the second day, she ate liquid food. At present, only a few medical centers in Japan, Korea and the United States are performing triangular anastomosis for distal gastric cancer radical surgery under total laparoscopy internationally. I was the first to carry out this technique in the province with the advanced technology I learned in the United States, and I am also in the leading position in China. The functional port anastomosis of the posterior wall of the remnant stomach and duodenum was done completely laparoscopically; the staple line of the anastomosis was “V” shaped after the anastomosis, and after closing the common opening, the staple line inside the anastomosis was triangular in shape. Compared with the traditional anastomosis, the triangular anastomosis completely realized the lumpectomy anastomosis, significantly shortened the operation time, and the patient recovered faster after the operation, and the postoperative pain and discomfort were significantly reduced. The large lumen that remains after the anastomosis allows for earlier and more adequate postoperative feeding, and the triangular anastomosis also minimizes the occurrence of various postoperative complications. This method has obvious advantages in terms of operative time, bleeding volume and lymph node dissection, showing the safety, feasibility and superiority of triangular anastomosis for distal gastric cancer under total laparoscopy, and demonstrating its promising future application. The radical treatment of distal gastric cancer under triangular anastomosis technique requires solid laparoscopic operation technique and rich clinical experience.