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  • Title: Total laparoscopic distal gastrectomy with Roux-en Y reconstruction.
    Author: Shim JH, Kim JG, Yoo HM, Oh SI, Jeon HM, Park CH, Song KY.
    Journal: Surg Laparosc Endosc Percutan Tech; 2013 Jun; 23(3):349-53. PubMed ID: 23752010.
    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.
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