{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T21:16:24Z","timestamp":1758402984246,"version":"3.37.3"},"reference-count":17,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T00:00:00Z","timestamp":1615939200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Objectives<\/jats:title><jats:p>In 2016, the self\u2010pulling and latter transection method (named \u201cDelta SPLT\u201d), a modified delta\u2010shaped gastroduodenostomy (DA) technique for totally laparoscopic distal gastrectomy, was described. Delta SPLT reduced the technical difficulty of the surgery and the quantity of cartridges required with a manageable initial safety profile. Here, the safety and feasibility of this technique are analyzed at 1 year's follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The demographic and clinicopathologic profiles, perioperative details, and postoperative outcomes of 45 consecutive patients who underwent Delta SPLT from March 2016 to March 2019 were retrospectively analyzed.<\/jats:p><jats:p>The Delta SPLT technique, which consisted of one endoscopic linear stapler and four cartridges each, was used for reconstruction in every case.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean operative time was 127.1\u2009\u00b1\u200938.2\u2009min, including a reconstruction duration of 22.6\u2009\u00b1\u20097.2\u2009min. There were no surgical or anastomotic complications. The mean postoperative stay duration was 5.8\u2009\u00b1\u20091.2 days, and the morbidity rate was 2.2% with one case of postoperative pneumonia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The results at the one\u2010year follow\u2010up suggest that Delta SPLT is a safe and feasible procedure. Delta SPLT is characterized by fewer difficulties experienced during surgery, lower surgical costs, it is easy to practice, and it is beneficial for patients who are undergoing gastroduodenostomy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26459","type":"journal-article","created":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T19:37:38Z","timestamp":1616009858000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The safety and feasibility of intra\u2010corporeal gastroduodenostomy using a self\u2010pulling and latter transected method (Delta SPLT) in totally laparoscopic distal gastrectomy"],"prefix":"10.1002","volume":"123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2302-4702","authenticated-orcid":false,"given":"Jun","family":"Hong","sequence":"first","affiliation":[{"name":"Department of General Surgery Huashan Hospital, Fudan University Shanghai 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