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- Title
β-Shaped intracorporeal Roux-en-Y reconstruction after totally laparoscopic distal gastrectomy.
- Authors
Motoyama, Kazuo; Kojima, Kazuyuki; Hayashi, Mikiko; Kato, Keiji; Inokuchi, Mikito; Sugihara, Kenichi
- Abstract
Background: The use of laparoscopic gastrectomy for the treatment of gastric cancer has been increasing. Roux-en-Y (R-Y) reconstruction after laparoscopy-assisted distal gastrectomy is now widely used to decrease leakage and prevent reflux. Owing to the need for a less invasive technique, we have developed a new technique for intracorporeal R-Y reconstruction (β reconstruction) after totally laparoscopic distal gastrectomy (TLDG). Methods: In this report, we describe the β reconstruction technique and short-term outcomes of the initial 105 patients who underwent β reconstruction from December 2008 to March 2012. Results: The operative and β reconstruction times were 330 ± 61.3 and 29 ± 5.6 min (mean ± SD), respectively. Anastomotic leakage after gastrojejunostomy occurred in one patient (0.9 %), requiring reoperation. Four cases (3.8 %) of anastomotic stenosis required endoscopic balloon dilation. However, R-Y stasis was not noted. Conclusions: We have indicated a technical description as well as the usefulness of β-shaped intracorporeal R-Y reconstruction after TLDG.
- Subjects
GASTRECTOMY; STOMACH cancer treatment; STOMACH surgery; LAPAROSCOPY; GASTRIC bypass
- Publication
Gastric Cancer, 2014, Vol 17, Issue 3, p588
- ISSN
1436-3291
- Publication type
Article
- DOI
10.1007/s10120-013-0311-5