Total laparoscopic distal gastrectomy with Roux-en y reconstruction

Jung Ho Shim; Jun Gi Kim; Han Mo Yoo; Seong Il Oh; Hae Myung Jeon; Cho Hyun Park; Kyo Young Song

doi:10.1097/SLE.0b013e3182773db8

Total laparoscopic distal gastrectomy with Roux-en y reconstruction

Jung Ho Shim
, Jun Gi Kim
, Han Mo Yoo
, Seong Il Oh
, Hae Myung Jeon
, Cho Hyun Park
, Kyo Young Song

Department of Surgery

Minimal Access and Robotic Surgery CenterSeoul St. Mary's Hospital
Catholic Univ. of Korea Coll. Med.

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

PURPOSE: The aim of this study was to introduce our technique and evaluate the technical efficacy of Roux-en Y (RY) reconstruction after total laparoscopic distal gastrectomy (TLDG). METHODS: We performed TLDG using our own method of RY-type anastomosis in a total of 38 consecutive patients with gastric adenocarcinomas and evaluated the techniques and postoperative outcomes. RESULTS: The mean operative time was 144.5±22.4 minutes, including reconstruction time, which was 26.2±3.5 minutes. Most patients were of pathologic stage IA (76.3%) or IB (10.5%), 3 patients were of stage II, and 2 were of stage IIIA. The length of postoperative hospital stay was 8.3±3.3 days (range, 5 to 20 d). Two cases required reoperation because of internal herniation. According to our endoscopic observation, bile reflux into the gastric remnant stump was not found. CONCLUSIONS: TLDG with RY reconstruction is technically feasible in gastric cancer patients.

Original language	English
Pages (from-to)	349-353
Number of pages	5
Journal	Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume	23
Issue number	3
DOIs	https://doi.org/10.1097/SLE.0b013e3182773db8
State	Published - Jun 2013

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Intracorporeal sutures
Roux-en Y reconstruction
Total laparoscopic distal gastrectomy

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10.1097/SLE.0b013e3182773db8

Cite this

@article{8eb189acbd534395bb1d83fb1c011084,

title = "Total laparoscopic distal gastrectomy with Roux-en y reconstruction",

abstract = "PURPOSE: The aim of this study was to introduce our technique and evaluate the technical efficacy of Roux-en Y (RY) reconstruction after total laparoscopic distal gastrectomy (TLDG). METHODS: We performed TLDG using our own method of RY-type anastomosis in a total of 38 consecutive patients with gastric adenocarcinomas and evaluated the techniques and postoperative outcomes. RESULTS: The mean operative time was 144.5±22.4 minutes, including reconstruction time, which was 26.2±3.5 minutes. Most patients were of pathologic stage IA (76.3\%) or IB (10.5\%), 3 patients were of stage II, and 2 were of stage IIIA. The length of postoperative hospital stay was 8.3±3.3 days (range, 5 to 20 d). Two cases required reoperation because of internal herniation. According to our endoscopic observation, bile reflux into the gastric remnant stump was not found. CONCLUSIONS: TLDG with RY reconstruction is technically feasible in gastric cancer patients.",

keywords = "Intracorporeal sutures, Roux-en Y reconstruction, Total laparoscopic distal gastrectomy",

author = "Shim, \{Jung Ho\} and Kim, \{Jun Gi\} and Yoo, \{Han Mo\} and Oh, \{Seong Il\} and Jeon, \{Hae Myung\} and Park, \{Cho Hyun\} and Song, \{Kyo Young\}",

year = "2013",

month = jun,

doi = "10.1097/SLE.0b013e3182773db8",

language = "English",

volume = "23",

pages = "349--353",

journal = "Surgical Laparoscopy, Endoscopy and Percutaneous Techniques",

issn = "1530-4515",

publisher = "Lippincott Williams and Wilkins",

number = "3",

}

TY - JOUR

T1 - Total laparoscopic distal gastrectomy with Roux-en y reconstruction

AU - Shim, Jung Ho

AU - Kim, Jun Gi

AU - Yoo, Han Mo

AU - Oh, Seong Il

AU - Jeon, Hae Myung

AU - Park, Cho Hyun

AU - Song, Kyo Young

PY - 2013/6

Y1 - 2013/6

N2 - PURPOSE: The aim of this study was to introduce our technique and evaluate the technical efficacy of Roux-en Y (RY) reconstruction after total laparoscopic distal gastrectomy (TLDG). METHODS: We performed TLDG using our own method of RY-type anastomosis in a total of 38 consecutive patients with gastric adenocarcinomas and evaluated the techniques and postoperative outcomes. RESULTS: The mean operative time was 144.5±22.4 minutes, including reconstruction time, which was 26.2±3.5 minutes. Most patients were of pathologic stage IA (76.3%) or IB (10.5%), 3 patients were of stage II, and 2 were of stage IIIA. The length of postoperative hospital stay was 8.3±3.3 days (range, 5 to 20 d). Two cases required reoperation because of internal herniation. According to our endoscopic observation, bile reflux into the gastric remnant stump was not found. CONCLUSIONS: TLDG with RY reconstruction is technically feasible in gastric cancer patients.

AB - PURPOSE: The aim of this study was to introduce our technique and evaluate the technical efficacy of Roux-en Y (RY) reconstruction after total laparoscopic distal gastrectomy (TLDG). METHODS: We performed TLDG using our own method of RY-type anastomosis in a total of 38 consecutive patients with gastric adenocarcinomas and evaluated the techniques and postoperative outcomes. RESULTS: The mean operative time was 144.5±22.4 minutes, including reconstruction time, which was 26.2±3.5 minutes. Most patients were of pathologic stage IA (76.3%) or IB (10.5%), 3 patients were of stage II, and 2 were of stage IIIA. The length of postoperative hospital stay was 8.3±3.3 days (range, 5 to 20 d). Two cases required reoperation because of internal herniation. According to our endoscopic observation, bile reflux into the gastric remnant stump was not found. CONCLUSIONS: TLDG with RY reconstruction is technically feasible in gastric cancer patients.

KW - Intracorporeal sutures

KW - Roux-en Y reconstruction

KW - Total laparoscopic distal gastrectomy

UR - https://www.scopus.com/pages/publications/84880160062

U2 - 10.1097/SLE.0b013e3182773db8

DO - 10.1097/SLE.0b013e3182773db8

M3 - Article

C2 - 23752010

AN - SCOPUS:84880160062

SN - 1530-4515

VL - 23

SP - 349

EP - 353

JO - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

JF - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

IS - 3

ER -

Total laparoscopic distal gastrectomy with Roux-en y reconstruction

Abstract

UN SDGs

Keywords

Access to Document

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