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, 17 (3), 588-93

β-Shaped Intracorporeal Roux-en-Y Reconstruction After Totally Laparoscopic Distal Gastrectomy

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β-Shaped Intracorporeal Roux-en-Y Reconstruction After Totally Laparoscopic Distal Gastrectomy

Kazuo Motoyama et al. Gastric Cancer.

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.

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Cited by 4 PubMed Central articles

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