β-Shaped intracorporeal Roux-en-Y reconstruction after totally laparoscopic distal gastrectomy

Motoyama, Keiichi; Kojima, Kazuyuki; Hayashi, Mikiko; Kato, Kuniki; Inokuchi, Mikito; Sugihara, Kenichi

doi:10.1007/s10120-013-0311-5

Cited by 21 publications

(18 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The jejunal mesenteric gap and Petersen's space are closed using non-absorbable running sutures. The RY procedure after laparoscopic DG has already been reported, and is essentially the same as that used in the open procedure [16,17] . The only difference is that, in laparoscopic DG, gastrojejunostomy is performed first without resecting the jejunum, and a common entry hole is closed together while resecting the jejunum using a single stapler.…”

Section: Surgical Procedures For Ry Reconstructionmentioning

confidence: 71%

Assessment of Serum Copper State after Gastrectomy with Roux-en-Y Reconstruction for Gastric Cancer

Nakagawa

Kojima²,

Inokuchi³

et al. 2015

Dig Surg

Self Cite

View full text Add to dashboard Cite

Background: Some recent reports have noted that copper deficiency can occur in obese patients who have undergone bariatric surgery, such as Roux-en-Y (RY) gastric bypass or biliopancreatic diversion, or in patients who receive enteral nutrition through a jejunostomy. No reports appear to have assessed the serum copper state of patients following gastrectomy with RY reconstruction for gastric cancer. Methods: A cross-sectional study was conducted from June 2013 to December 2014. Serum copper levels (SCLs) in 242 out-clinic patients who underwent curative gastrectomy were obtained. Patients were classified into an RY group (n = 208) and a non-RY group (n = 34). Results: Hypocupremia was identified in 3 patients in the RY group (1.4%), and 2 patients in the non-RY group (5.9%; p = 0.146), but none experienced any symptoms caused by hypocupremia. No significant difference in the mean SCL was seen between the RY group (105.8 ± 21.2 µg/dl) and non-RY group (107.9 ± 22.7 µg/dl; p = 0.499). In the RY group, the mean SCL was significantly lower in younger patients, patients with follow-up period <3 years, and male patients. Conclusion: Some patients developed hypocupremia after gastrectomy with RY reconstruction, but the number is acceptably low, and physical symptoms were unusual.

show abstract

Section: Surgical Procedures For Ry Reconstructionmentioning

confidence: 71%

Assessment of Serum Copper State after Gastrectomy with Roux-en-Y Reconstruction for Gastric Cancer

Nakagawa

Kojima²,

Inokuchi³

et al. 2015

Dig Surg

Self Cite

View full text Add to dashboard Cite

show abstract

“…Therefore, the primary end‐point was met, and LADG was deemed safe and feasible in expert hands. The mean operating time in the JCOG trial (250 min) was longer than in our study, although patients treated by Roux‐en‐Y reconstruction and gastrogastrostomy were included in the JCOG trial . Although surgery in our cDST series was not always performed by board certified surgeons, the incidence of anastomotic leakage at 2.2% was not substantially inferior.…”

Section: Discussionmentioning

confidence: 67%

Stapling an extracorporeal Billroth‐I anastomosis by the complete double stapling technique after laparoscopy‐assisted distal gastrectomy

Tanaka

Fujiwara

Kanda

et al. 2017

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…Currently, the intracorporeal R‐Y reconstruction approaches used in TLDG include two categories that using linear stapler and circular stapler except of the time‐consuming laparoscopic hand‐sewn technique. To avoid the technically demanding procedure of performing purse‐string suture along with the usage of circular stapler, some surgeons tried linear‐stapled R‐Y reconstruction in TLDG . However, this kind of method still has some disadvantages.…”

Section: Discussionmentioning

confidence: 99%

“…Compared with the common and preferable circular‐stapled R‐Y reconstruction in open distal gastrectomy, applications of intracorporeal circular‐stapled gastrojejunostomy and jejunojejunostomy for R‐Y reconstruction in TLDG have been limited (no report of intracorporeal circular‐stapled jejunojejunostomy) because of the difficulties in intracorporeal purse‐string suture performance and anvil placement. Some surgeons have adopted linear stapled or laparoscopic hand‐sewn techniques as substitutes to achieve R‐Y reconstruction in TLDG . However, the linear‐stapled techniques may present some challenges when being applied in a small residual stomach and when closing the irregular and large common incision.…”

Section: Introductionmentioning

confidence: 99%

Intracorporeal classic circular‐stapled gastrojejunostomy and jejunojejunostomy during laparoscopic distal gastrectomy: A simple, safe “intraluminal poke technique” for anvil placement

Xue

Jin

et al. 2018

Journal of Surgical Oncology

View full text Add to dashboard Cite

Background Totally laparoscopic distal gastrectomy is being increasingly performed. However, an optimal procedure to achieve intracorporeal gastrojejunostomy and jejunojejunostomy for Roux‐en‐Y reconstruction after laparoscopic distal gastrectomy remains to be established. Compared with the simple and preferable circular‐stapled Roux‐en‐Y reconstruction in open gastrectomy, application of intracorporeal circular‐stapled gastrojejunostomy and jejunojejunostomy of Roux‐en‐Y reconstruction during laparoscopic distal gastrectomy have been limited (no report of intracorporeal circular‐stapled jejunojejunostomy) because of the difficulties of intracorporeal purse‐string suture and anvil placement. To address these problems, a simple and safe intraluminal poke technique of universal surgical concept and procedure was introduced and evaluated. Methods Between March 2018 and August 2018, 24 consecutive patients with gastric cancer underwent totally laparoscopic distal gastrectomy in our hospital. Roux‐en‐Y reconstruction of intracorporeal circular‐stapled gastrojejunostomy and jejunojejunostomy with the intraluminal poke technique was performed in all patients. Demographic and clinicopathologic characteristics, perioperative details and postoperative outcomes were analyzed. Results The mean operative time was 203.6±26.2min, both proximal and distal tumor‐free margins were achieved in all patients. The time for anvil placement at stomach and intestine was 5.9±1.3min and 3.9±0.7min, respectively. Intracorporeal gastrojejunostomy and jejunojejunostomy were successively completed following anvil placement with no any anastomosis‐related sutures. There were 5 postoperative complications. Morbidities included pancreas fistula (n=1), stasis (n=2), atelectasis (n=1), pneumonia (n=1). These all patients recovered after conservative treatment. No postoperative anastomosis‐related complications, such as anastomotic bleeding and leakage, or stenosis occurred during the median follow‐up of 6.5 months. Conclusion The initial results suggest that the technique allowing easy and common anvil placement at stomach and intestine may be a simple, safe, preferable and time‐saving procedure to accomplish intracorporeal circular‐stapled gastrojejunostomy and jejunojejunostomy of Roux‐en‐Y reconstruction in totally laparoscopic distal gastrectomy as open surgery.

show abstract

β-Shaped intracorporeal Roux-en-Y reconstruction after totally laparoscopic distal gastrectomy

Cited by 21 publications

References 33 publications

Assessment of Serum Copper State after Gastrectomy with Roux-en-Y Reconstruction for Gastric Cancer

Assessment of Serum Copper State after Gastrectomy with Roux-en-Y Reconstruction for Gastric Cancer

Stapling an extracorporeal Billroth‐I anastomosis by the complete double stapling technique after laparoscopy‐assisted distal gastrectomy

Intracorporeal classic circular‐stapled gastrojejunostomy and jejunojejunostomy during laparoscopic distal gastrectomy: A simple, safe “intraluminal poke technique” for anvil placement

Contact Info

Product

Resources

About