Total Laparoscopic Distal Gastrectomy With Roux-en Y Reconstruction

@article{Shim2013TotalLD,
  title={Total Laparoscopic Distal Gastrectomy With Roux-en Y Reconstruction},
  author={Jung Ho Shim and Jun Gi Kim and Han Mo Yoo and Seong Il Oh and Hae Myung Jeon and Cho Hyun Park and Kyo Young Song},
  journal={Surgical Laparoscopy, Endoscopy \& Percutaneous Techniques},
  year={2013},
  volume={23},
  pages={349–353}
}
  • J. Shim, Jun Gi Kim, K. Song
  • Published 1 June 2013
  • Medicine
  • Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
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… 
Intracorporeal classic circular‐stapled gastrojejunostomy and jejunojejunostomy during laparoscopic distal gastrectomy: A simple, safe “intraluminal poke technique” for anvil placement
TLDR
A simple and safe intraluminal poke technique of universal surgical concept and procedure was introduced and evaluated to address the difficulties of intracorporeal purse‐string suture and anvil placement in laparoscopic distal gastrectomy.

References

SHOWING 1-10 OF 28 REFERENCES
Internal Hernia After Laparoscopic Roux-en-Y Gastric Bypass
TLDR
Closure of mesenteric defects and ante-colic Roux limb position result in a significantly lower IH rate, and a high index of suspicion must be maintained since symptoms may be nonspecific and imaging may be negative in nearly 20 % of patients.
Short-term Outcomes of Roux-en-Y Stapled Anastomosis after Distal Gastrectomy for Gastric Adenocarcinoma
TLDR
There were no significant disadvantages of employing mechanical stapling for anastomosis, except for the high rate of delayed gastric emptying, and more consideration needs to be given to decreasing the frequency of gastrics emptying disturbance post surgery using mechanical staples.
Internal Hernia after Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity
TLDR
Surgical exploration for suspicion of IH after LRYGBP should be first done by laparoscopy, and closure of mesenteric defects with non-absorbable running suture and antecolic Roux limb are recommended.
Intraabdominal Roux-en-Y reconstruction with a novel stapling technique after laparoscopic distal gastrectomy
TLDR
A new technique for intracorporeal Roux-en-Y reconstruction: a modified stapling technique to allow the gastrojejunostomy to be made on the stomach transecting line that is applicable even when the residual stomach is very small.
Internal Hernias after Laparoscopic Roux-en-Y Gastric Bypass: Incidence, Treatment and Prevention
TLDR
This diagnosis should be entertained in all patients with unexplained abdominal pain following laparoscopic RYGBP, and meticulous closure of all potential internal hernia sites is essential to limit this potentially lethal complication.
Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity
TLDR
Laparoscopic Roux-en-Y gastric bypass is effective in achieving weight loss and in improving comorbidities and quality of life while reducing recovery time and perioperative complications and in patients with more than 1 year of follow-up.
Bowel Obstruction after Laparoscopic Roux-en-Y Gastric Bypass
TLDR
Bowel obstruction is a frequent complication after LRYGBP, particularly during the learn ing curve of the laparoscopic approach, and specific measures should be instituted to minimize bowel obstruction after Lrys-en-Y gastric bypass.
Comparison of Billroth I and Billroth II reconstructions after laparoscopy-assisted distal gastrectomy: a retrospective analysis of large-scale multicenter results from Korea
TLDR
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.
Endoscopic evaluation of the remnant stomach after gastrectomy: proposal for a new classification
TLDR
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.
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