Roux-en-Y Gastrojejunostomy After Totally Laparoscopic Distal Gastrectomy: Comparison With Billorth II Reconstruction

  title={Roux-en-Y Gastrojejunostomy After Totally Laparoscopic Distal Gastrectomy: Comparison With Billorth II Reconstruction},
  author={Jung Ho Shim and Seong Il Oh and Han Mo Yoo and Hae Myung Jeon and Cho Hyun Park and Kyo Young Song},
  journal={Surgical Laparoscopy, Endoscopy \& Percutaneous Techniques},
  • J. Shim, S. Oh, K. Song
  • Published 1 October 2014
  • Medicine
  • Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Purpose: The purpose of this study was to compare Roux-en-Y (R-Y) reconstruction with Billroth-II (B-II) reconstruction after a totally laparoscopic distal gastrectomy (TLDG). Methods: Eighty-one consecutive TLDG procedures were performed by a single surgeon and subsequently examined. Postoperative outcomes, clinicopathologic features, and postoperative endoscopic findings between the 2 groups were evaluated and compared. Results: The mean operation time was not significantly higher in the R-Y… 
Billroth-II with Braun versus Roux-en-Y reconstruction in totally laparoscopic distal gastrectomy for gastric cancer
B-IIB reconstruction is easier and faster to perform than R-Y reconstruction in TLDG for gastric cancer, and are safe and effective in T LDG.
Total Laparoscopic Uncut Roux-en-Y for Radical Distal Gastrectomy: An Interim Analysis of a Randomized, Controlled, Clinical Trial
URY anastomosis is associated with a significantly lower incidence of bile reflux gastritis and roux stasis syndrome compared with BB anastoms, and the incidence of postoperative complications is significantly lower.
Comparison of Billroth I, Billroth II, and Roux-en-Y Reconstruction After Totally Laparoscopic Distal Gastrectomy: A Randomized Controlled Study
Delta-shaped Billroth I anastomosis in totally laparoscopic distal gastrectomy for digestive tract reconstruction is simple and easy to perform, and has an advantage in postoperative gastrointestinal function recovery.
Comparison of the Long-term Outcome Between Billroth-I and Roux-en-Y Reconstruction Following Distal Gastrectomy for Gastric Cancer
RY reconstruction was associated with lower incidence of bile reflux and gastritis, and higher incidence of gallstone formation than B-I reconstruction, and cholecystectomy is recommended concurrently as gastrectomy during long-term follow-up.
A modified uncut Roux-en-Y anastomosis in totally laparoscopic distal gastrectomy: preliminary results and initial experience
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.
A Modified Billroth-II with Braun Anastomosis in Totally Laparoscopic Distal Gastrectomy: Initial Experience Compared with Roux-en-Y Anastomosis
For gastric cancer patients, TLDG with modified B-II Braun reconstruction could be technically feasible and it has an acceptable range of postoperative complications and is effective in preventing bile reflux into the gastric remnant.
Comparison of Billroth I, Billroth II, and Roux-en-Y reconstructions after distal gastrectomy according to functional recovery: a meta-analysis.
Network meta-analysis revealed that R-Y reconstruction has a lower risk and degree of residual gastritis and bile reflex than B-I and B-II reconstructions, but no differences in first oral-intake time, complications, risk of reflux esophagitis, and residual food, QoL, and body weight changes existed among the three reconstructions.
Revisiting Laparoscopic Reconstruction for Billroth 1 Versus Billroth 2 Versus Roux-en-Y After Distal Gastrectomy: A Systematic Review and Meta-Analysis in the Modern Era
This study is the first meta-analysis comparing anastomoses inLDG and introduces novel criteria for consideration when selecting reconstructions in LDG, considering the significant differences in postoperative complications and endoscopic symptoms.
The Development and Future of Digestive Tract Reconstruction after Distal Gastrectomy: A Systemic Review and Meta-Analysis
An indirect comparison suggested that Roux-en-Y reconstruction significantly reduces reflux gastritis, and it tended to rank first and had the highest probability of preventing bile reflux.


A Comparison of Roux-en-Y and Billroth-I Reconstruction After Laparoscopy-assisted Distal Gastrectomy
R-Y reconstruction seems superior to B-I reconstruction for preventing both bile reflux into the gastric remnant and postoperative complications, and is considered as a feasible and safe method for LADG.
Prospective Randomized Trial Comparing Billroth I and Roux-en-Y Procedures after Distal Gastrectomy for Gastric Carcinoma
Rx-en-Y reconstruction was effective in preventing duodenogastric reflux and resulting gastritis, but it did not prevent esophagitis, and this method has limited advantages over B-I anastomosis after distal gastrectomy.
Comparison of Billroth I and Billroth II reconstructions after laparoscopy-assisted distal gastrectomy: a retrospective analysis of large-scale multicenter results from Korea
Both Billroth I and Billroth II techniques are feasible and safe reconstruction methods after LADG for gastric cancer and surgeons should pay attention to bleeding inBillroth I reconstruction and stump leakage in Bill Roth II reconstruction.
Laparoscopic Versus Open Subtotal Gastrectomy for Distal Gastric Cancer: Five-Year Results of a Randomized Prospective Trial
Laparoscopic radical subtotal gastrectomy for distal gastric cancer is a feasible and safe oncologic procedure with short- and long-term results similar to those obtained with an open approach.
Endoscopic evaluation of the remnant stomach after gastrectomy: proposal for a new classification
A new endoscopic classification, regarding several aspects of the remnant stomach, which enables common understanding and description of the condition is proposed and seems to be useful to describe these findings and to further evaluate these reconstructive methods.
Classification of Surgical Complications: A New Proposal With Evaluation in a Cohort of 6336 Patients and Results of a Survey
The new complication classification appears reliable and may represent a compelling tool for quality assessment in surgery in all parts of the world.
Long‐term outcomes and survival after laparoscopy‐assisted distal gastrectomy for gastric cancer: Three‐year survival analysis of a single‐center experience in Korea
This study investigated the 3‐year outcome and survival of patients who underwent LADG and found no significant difference between the short and long-term results.
Clinicopathological Features and Surgical Treatment of Gastric Cancer in South Korea: The Results of 2009 Nationwide Survey on Surgically Treated Gastric Cancer Patients
It was found that patients are becoming older, laparoscopic surgery is being performed increasingly, and the proportion of T1 cancer is increasing with time.