array:24 [ "pii" => "S2173507719300821" "issn" => "21735077" "doi" => "10.1016/j.cireng.2019.04.006" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "2048" "copyright" => "AEC" "copyrightAnyo" => "2019" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Cir Esp. 2019;97:299-300" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 80 "formatos" => array:2 [ "HTML" => 59 "PDF" => 21 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S0009739X19300612" "issn" => "0009739X" "doi" => "10.1016/j.ciresp.2019.02.003" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "2048" "copyright" => "AEC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Cir Esp. 2019;97:299-300" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 408 "formatos" => array:2 [ "HTML" => 313 "PDF" => 95 ] ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Carta al Director</span>" "titulo" => "Acerca de los resultados a corto plazo de la gastrectomía casi total (95% gastrectomy)" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "299" "paginaFinal" => "300" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Regarding to short-term results of laparoscopic near-total (95%) gastrectomy" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Juan Ocaña, Pablo Priego, Marta Cuadrado, Julio Galindo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Ocaña" ] 1 => array:2 [ "nombre" => "Pablo" "apellidos" => "Priego" ] 2 => array:2 [ "nombre" => "Marta" "apellidos" => "Cuadrado" ] 3 => array:2 [ "nombre" => "Julio" "apellidos" => "Galindo" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2173507719300821" "doi" => "10.1016/j.cireng.2019.04.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507719300821?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X19300612?idApp=UINPBA00004N" "url" => "/0009739X/0000009700000005/v2_201906010722/S0009739X19300612/v2_201906010722/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S2173507719301000" "issn" => "21735077" "doi" => "10.1016/j.cireng.2019.05.006" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "2087" "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "prp" "cita" => "Cir Esp. 2019;97:301-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 134 "formatos" => array:2 [ "HTML" => 114 "PDF" => 20 ] ] "en" => array:9 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Obituary</span>" "titulo" => "Manuel González González (1928–2019)" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "301" "paginaFinal" => "302" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Alberto Gómez Alonso" "autores" => array:1 [ 0 => array:2 [ "nombre" => "Alberto" "apellidos" => "Gómez Alonso" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0009739X19301174" "doi" => "10.1016/j.ciresp.2019.04.005" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X19301174?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507719301000?idApp=UINPBA00004N" "url" => "/21735077/0000009700000005/v1_201906020805/S2173507719301000/v1_201906020805/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2173507719300924" "issn" => "21735077" "doi" => "10.1016/j.cireng.2019.04.010" "estado" => "S300" "fechaPublicacion" => "2019-05-01" "aid" => "1985" "copyright" => "AEC" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "crp" "cita" => "Cir Esp. 2019;97:296-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 100 "formatos" => array:2 [ "HTML" => 67 "PDF" => 33 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Scientific Letter</span>" "titulo" => "Fluorescence Imaging to Check the Viability of Coloplasty in the Process of Digestive Tract Reconstruction After Massive Ingestion of Corrosive Agents" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "296" "paginaFinal" => "298" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Utilidad de la angiografía con fluorescencia para la comprobación de la viabilidad de la plastia de colon en el proceso de reconstrucción del tránsito digestivo tras ingesta masiva de cáusticos" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 624 "Ancho" => 1300 "Tamanyo" => 133308 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Pharyngo-jejunal anastomosis and terminal tracheostomy; ICG fluorescence angiography image demonstrating the ileocolic plasty in its definitive position prior to anastomosis.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Elisenda Garsot Savall, Marta Viciano Martín, Josep María Sastre Papiol, Carlos Pollán Guisasola, Joan Franscesc Julián Ibáñez" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Elisenda" "apellidos" => "Garsot Savall" ] 1 => array:2 [ "nombre" => "Marta" "apellidos" => "Viciano Martín" ] 2 => array:2 [ "nombre" => "Josep María" "apellidos" => "Sastre Papiol" ] 3 => array:2 [ "nombre" => "Carlos" "apellidos" => "Pollán Guisasola" ] 4 => array:2 [ "nombre" => "Joan Franscesc" "apellidos" => "Julián Ibáñez" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0009739X18302550" "doi" => "10.1016/j.ciresp.2018.09.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X18302550?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507719300924?idApp=UINPBA00004N" "url" => "/21735077/0000009700000005/v1_201906020805/S2173507719300924/v1_201906020805/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Regarding to Short-term Results of Laparoscopic Near-total (95%) Gastrectomy" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "299" "paginaFinal" => "300" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Ocaña, Pablo Priego, Marta Cuadrado, Julio Galindo" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Juan" "apellidos" => "Ocaña" ] 1 => array:4 [ "nombre" => "Pablo" "apellidos" => "Priego" "email" => array:1 [ 0 => "papriego@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Marta" "apellidos" => "Cuadrado" ] 3 => array:2 [ "nombre" => "Julio" "apellidos" => "Galindo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Unidad de Cirugía Esofagogástrica y Bariátrica, Hospital Universitario Ramón y Cajal, Madrid, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "<span class="elsevierStyleItalic">Corresponding author</span>." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Acerca de los resultados a corto plazo de la gastrectomía casi total (95% gastrectomy)" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We have read with interest the recent article by Sarriugarte et al.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> on the short-term results of laparoscopic near-total gastrectomy analyzing 2 hospitals specialized in the treatment of gastric cancer. We would like to congratulate the authors for their review of these 67 patients in their study and for the conclusions they reach, with which we fully agree.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Following a conference by Dr. Azagra<a class="elsevierStyleCrossRefs" href="#bib0025"><span class="elsevierStyleSup">2,3</span></a> a few years ago and after observing the complications associated with esophagojejunal anastomosis after laparoscopic total gastrectomy, we decided to follow his teachings and apply this technique for treatment in a series of our patients.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Our series includes 10 cases of laparoscopic near-total (95%) gastrectomy from the last 3 years with a predominance of gastric adenocarcinoma (7 cases), although the technique was also performed in 2 cases of gastric neuroendocrine tumor and in one case of giant gastric GIST affecting the lesser curvature of the gastric body.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Unlike the authors, and despite the fact that in 2 cases we performed manual anastomosis, in the remaining 8 we chose to perform the anastomosis with a 45<span class="elsevierStyleHsp" style=""></span>mm linear stapler (blue cartridge), closing the orifice with Stratafix 2/0 barbed suture in the same way that we perform the gastrojejunal anastomosis during gastric bypass, which has provided good results.</p><p id="par0025" class="elsevierStylePara elsevierViewall">As described by the authors, the anastomotic fistula rate was 0%, with no observed proximal or distal margin involvement in any of the cases, and no recurrence at the anastomosis after a follow-up of 18.3 months. However, one patient (10%) died due to the progression of the disease in the form of peritoneal carcinomatosis 12 months later.</p><p id="par0030" class="elsevierStylePara elsevierViewall">As for complications≥IIIA, we only had one case (10%) of pleural empyema that required percutaneous drainage and in which anastomotic dehiscence was excluded after several normal radiological and endoscopic studies.</p><p id="par0035" class="elsevierStylePara elsevierViewall">Regarding the lymph node dissection performed, we agree with the authors that, despite leaving a small gastric stump of 1–2<span class="elsevierStyleHsp" style=""></span>cm, it is quite simple to perform lymphadenectomy of groups 1 and 2 without causing ischemia. We always try to identify the posterior gastric artery to preserve it for correct irrigation of the gastric stump, but this is sometimes not possible and the vascularization relies on the esophageal vessels, although we have observed no problems. It is also true that, as recommended by the authors, we try not to dissect the esophagus excessively in the mediastinum.</p><p id="par0040" class="elsevierStylePara elsevierViewall">In short, we agree with Sarriugarte et al.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> in that, at least in our short-term experience with a limited number of patients, laparoscopic near-total gastrectomy is an oncologically safe technique with a complication rate that is possibly lower than total gastrectomy.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of Interests</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of Interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Ocaña J, Priego P, Cuadrado M, Galindo J. Acerca de los resultados a corto plazo de la gastrectomía casi total (95% gastrectomy). Cir Esp. 2019;97:300–301.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Resultados a corto plazo de la gastrectomía casi total (95% gastrectomy) laparoscópica" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "A. Sarriugarte" 1 => "L. Arru" 2 => "S. Makai-Popa" 3 => "M. Goergen" 4 => "F.J. Ibañez-Aguirre" 5 => "J.S. Azagra" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Cir Esp" "fecha" => "2018" "volumen" => "6" "paginaInicial" => "6" "paginaFinal" => "11" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0025" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Totally laparoscopic 95% gastrectomy for cancer: technical considerations" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "L. Arru" 1 => "J.S. Azagra" 2 => "O. Facy" 3 => "S.T. Makkai-Popa" 4 => "V. Poulain" 5 => "M. Goergen" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Langenbeck's Arch Surg" "fecha" => "2015" "volumen" => "400" "paginaInicial" => "387" "paginaFinal" => "393" ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0030" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Totally laparoscopic 95% gastrectomy for gastric cancer: how to reduce complications while maintaining oncological radicality" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "A. Sarriugarte" 1 => "L. Arru" 2 => "J.S. Azagra" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Laparosc Surg" "fecha" => "2018" "volumen" => "2" "paginaInicial" => "10" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000009700000005/v1_201906020805/S2173507719300821/v1_201906020805/en/main.assets" "Apartado" => array:4 [ "identificador" => "19061" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Letter to the Editor" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000009700000005/v1_201906020805/S2173507719300821/v1_201906020805/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507719300821?idApp=UINPBA00004N" ]
Journal Information
Share
Download PDF
More article options
Letter to the Editor
Regarding to Short-term Results of Laparoscopic Near-total (95%) Gastrectomy
Acerca de los resultados a corto plazo de la gastrectomía casi total (95% gastrectomy)
Juan Ocaña, Pablo Priego
, Marta Cuadrado, Julio Galindo
Corresponding author
Unidad de Cirugía Esofagogástrica y Bariátrica, Hospital Universitario Ramón y Cajal, Madrid, Spain