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Surgical Endoscopy
Published in: Surgical Endoscopy 11/2017

01-11-2017

A modified uncut Roux-en-Y anastomosis in totally laparoscopic distal gastrectomy: preliminary results and initial experience

Authors: Jun-Jun Ma, Lu Zang, Annie Yang, Wei-Guo Hu, Bo Feng, Feng Dong, Ming-Liang Wang, Ai-Guo Lu, Jian-Wen Li, Min-Hua Zheng

Published in: Surgical Endoscopy | Issue 11/2017

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Abstract

Objective

To investigate the safety and feasibility of totally laparoscopic uncut Roux-en-Y anastomosis in the distal gastrectomy with D2 dissection for gastric cancer. We also summarized the preliminary experience of totally laparoscopic uncut Roux-en-Y anastomosis.

Methods

A retrospective analysis was done in 51 cases of total laparoscopic uncut Roux-en-Y anastomosis in the distant gastrectomy with D2 dissection for gastric cancer in our hospital from September 2014 to December 2015.

Results

All of 51 cases underwent total laparoscopic uncut Roux-en-Y anastomosis. All the procedures were performed successfully. There were neither conversions to open surgery nor intraoperative complications in all 51 cases. In this study, the median operative time was 170 (135–210) min and the median time of anastomosis was 27 (24–41) min. The blood loss was 60 (30–110) ml. The time to flatus and length of postoperative hospital stay were 2 (1–3) days, and 8 (7–12) days, respectively. The mean lymph node harvest was 34 (18–49). One anastomotic bleeding occurred postoperatively which was cured by conservative treatment. No major postoperative complication occurred, such as anastomotic leak, anastomotic stenosis, and Roux stasis syndrome. After a short-term follow-up, no recanalization or reflux gastritis was encountered by endoscopy.

Conclusion

The totally laparoscopic uncut Roux-en-Y anastomosis in distal gastrectomy with lymph node dissection for gastric cancer is safe and feasible, with a very low rate of recanalization and reflux gastritis.
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Metadata
Title
A modified uncut Roux-en-Y anastomosis in totally laparoscopic distal gastrectomy: preliminary results and initial experience
Authors
Jun-Jun Ma
Lu Zang
Annie Yang
Wei-Guo Hu
Bo Feng
Feng Dong
Ming-Liang Wang
Ai-Guo Lu
Jian-Wen Li
Min-Hua Zheng
Publication date
01-11-2017
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 11/2017
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-017-5551-8

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