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Surgical Endoscopy
Published in: Surgical Endoscopy 10/2011

01-10-2011

Internal hernia after laparoscopic gastric resection with antecolic Roux-en-Y reconstruction for gastric cancer

Authors: Yoshinori Hosoya, Alan Lefor, Takashi Ui, Hidenori Haruta, Kentaro Kurashina, Shin Saito, Toru Zuiki, Naohiro Sata, Yoshikazu Yasuda

Published in: Surgical Endoscopy | Issue 10/2011

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Abstract

Background

To decrease the incidence of internal hernia after laparoscopic gastric bypass, current recommendations include closure of mesenteric defects. Laparoscopic gastric resection is used increasingly for the treatment of gastric cancer, but the incidence of internal hernia in the treated patients has not been studied.

Methods

This study retrospectively reviewed 173 patients who underwent laparoscopic resection for gastric cancer at one institution, including distal and total gastric resections with antecolic Roux-en-Y reconstruction.

Results

An internal hernia occurred in 4 (7%) of 58 patients whose jejunojejunal mesenteric defect was not closed a mean of 326 days after surgery. All the patients underwent reoperation with reduction and repair of the hernia. In 115 subsequent cases, with closure of the mesenteric defect, internal hernias did not occur (0/115 cases; p < 0.05).

Conclusion

Based on the current recommendations for patients undergoing bariatric surgery, closure of this potential hernia defect is mandatory after laparoscopic gastrectomy with a Roux-en-Y reconstruction for gastric cancer.
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Metadata
Title
Internal hernia after laparoscopic gastric resection with antecolic Roux-en-Y reconstruction for gastric cancer
Authors
Yoshinori Hosoya
Alan Lefor
Takashi Ui
Hidenori Haruta
Kentaro Kurashina
Shin Saito
Toru Zuiki
Naohiro Sata
Yoshikazu Yasuda
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 10/2011
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-011-1739-5

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