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Simplified Roux-en-Y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer

BACKGROUND: Although there were a variety of strategies for the alimentary tract reconstruction of patients with gastric cancer who underwent laparoscopic radical distal gastrectomy, it remains controversial regarding which procedure is optimal. We developed a simple technique for Roux-en-Y reconstr...

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Autores principales: Qian, Yawei, Zhou, Guang, Chang, Feifei, Ping, Xiaochun, Wang, Guoliang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577218/
https://www.ncbi.nlm.nih.gov/pubmed/36268210
http://dx.doi.org/10.3389/fsurg.2022.994659
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author Qian, Yawei
Zhou, Guang
Chang, Feifei
Ping, Xiaochun
Wang, Guoliang
author_facet Qian, Yawei
Zhou, Guang
Chang, Feifei
Ping, Xiaochun
Wang, Guoliang
author_sort Qian, Yawei
collection PubMed
description BACKGROUND: Although there were a variety of strategies for the alimentary tract reconstruction of patients with gastric cancer who underwent laparoscopic radical distal gastrectomy, it remains controversial regarding which procedure is optimal. We developed a simple technique for Roux-en-Y reconstruction during laparoscopic surgery and evaluated its technical feasibility and safety. METHODS: Seventy-one cases of modified Roux-en-Y reconstructions after laparoscopic radical distal gastrectomy were consecutively performed in our hospital, from November 2020 to March 2022. A retrospective review of medical data was conducted. Intraoperative and postoperative outcomes, including operation time and incidence of postoperative complications, were collected and analyzed. RESULTS: All procedures of laparoscopic distal gastrectomy with D2 lymph node dissection were successfully completed without any intraoperative complication. The mean number of retrieved lymph node was 38.8 ± 10.6. Mean operative time was 223.5 ± 42.4 min, whereas intraoperative blood loss was 102.2 ± 96.3 ml. No postoperative mortality was recorded. Six patients (8.5%) experienced postoperative complications and were managed conservatively. In addition, only two patients (2.8%) required rehospitalization during a median short-term follow-up period of 6 months. CONCLUSIONS: The modified method is a simple and safe approach for laparoscopic radical distal gastrectomy.
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spelling pubmed-95772182022-10-19 Simplified Roux-en-Y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer Qian, Yawei Zhou, Guang Chang, Feifei Ping, Xiaochun Wang, Guoliang Front Surg Surgery BACKGROUND: Although there were a variety of strategies for the alimentary tract reconstruction of patients with gastric cancer who underwent laparoscopic radical distal gastrectomy, it remains controversial regarding which procedure is optimal. We developed a simple technique for Roux-en-Y reconstruction during laparoscopic surgery and evaluated its technical feasibility and safety. METHODS: Seventy-one cases of modified Roux-en-Y reconstructions after laparoscopic radical distal gastrectomy were consecutively performed in our hospital, from November 2020 to March 2022. A retrospective review of medical data was conducted. Intraoperative and postoperative outcomes, including operation time and incidence of postoperative complications, were collected and analyzed. RESULTS: All procedures of laparoscopic distal gastrectomy with D2 lymph node dissection were successfully completed without any intraoperative complication. The mean number of retrieved lymph node was 38.8 ± 10.6. Mean operative time was 223.5 ± 42.4 min, whereas intraoperative blood loss was 102.2 ± 96.3 ml. No postoperative mortality was recorded. Six patients (8.5%) experienced postoperative complications and were managed conservatively. In addition, only two patients (2.8%) required rehospitalization during a median short-term follow-up period of 6 months. CONCLUSIONS: The modified method is a simple and safe approach for laparoscopic radical distal gastrectomy. Frontiers Media S.A. 2022-10-04 /pmc/articles/PMC9577218/ /pubmed/36268210 http://dx.doi.org/10.3389/fsurg.2022.994659 Text en © 2022 Qian, Zhou, Chang, Ping and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Qian, Yawei
Zhou, Guang
Chang, Feifei
Ping, Xiaochun
Wang, Guoliang
Simplified Roux-en-Y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer
title Simplified Roux-en-Y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer
title_full Simplified Roux-en-Y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer
title_fullStr Simplified Roux-en-Y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer
title_full_unstemmed Simplified Roux-en-Y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer
title_short Simplified Roux-en-Y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer
title_sort simplified roux-en-y reconstruction after laparoscopic radical distal gastrectomy for gastric cancer
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9577218/
https://www.ncbi.nlm.nih.gov/pubmed/36268210
http://dx.doi.org/10.3389/fsurg.2022.994659
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