The technique of delta-shaped anastomosis in laparoscopic distal gastrectomy with D2 lymph node dissection for gastric cancer

Background: The study aimed to evaluate the initial outcome of the technique of delta-shaped anastomosis in laparoscopic distal gastrectomy with D2 lymph node dissection for the treatment of gastric cancer. Materials and Methods: A prospective descriptive study was done. The study included 35 patients who underwent Delta-shaped anastomosis in laparoscopic distal gastrectomy from December 2022 to August 2023 at Nghe An Friendship General Hospital. Results: The mean age was 64.8 ± 11.0 (47 – 93). The location of the lesion was mainly in the antrum of the stomach, accounting for 82.9%. There were 2.9% of cases having incidents during the surgery and 2.9% of cases having complications after the surgery. There were 5.8% cases of technical errors in making a delta-shaped anastomosis during surgery. No anastomotic leakage or death was observed after the surgery. The operation time was 156.8 ± 15.8 (130 - 190) minutes. The mean hospital stay was 6.6 ± 0.5 (6 - 8) days. Conclusion: The technique of Delta-shaped anastomosis in laparoscopic distal gastrectomy with D2 lymph node dissection is safe and effective in the treatment of gastric cancer.