Retrospective analysis of multi-center data on the application of uncut Roux-en-Y gastrojejunostomy in totally laparoscopic distal gastrectomy.

Jiaming Zhu; Weidong Zang; Lu Zang; Yong LI

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Retrospective analysis of multi-center data on the application of uncut Roux-en-Y gastrojejunostomy in totally laparoscopic distal gastrectomy.

Author: Jiaming ZHU ¹ ; Weidong ZANG ² ; Lu ZANG ³ ; Yong LI ⁴
Author Information

1. Department of General Surgery, The Second Hospital, Jilin University, Changchun 130041, China.
2. Department of General Surgery, Fujian Provincial Cancer Hospital, Fuzhou 350014, China.
3. Department of Gastrointestinal Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200020, China.
4. Department of General Surgery, Guangdong General Hospital, Guangzhou 510080, China. yuan821007@126.com.
Publication Type:Journal Article
MeSH: Aged; Anastomosis, Roux-en-Y; Blood Loss, Surgical; Female; Gastrectomy; methods; Gastric Bypass; Gastroenterostomy; Humans; Laparoscopy; Lymph Nodes; Lymphatic Vessels; Male; Middle Aged; Operative Time; Postoperative Period; Retrospective Studies; Stomach Neoplasms; surgery
From: Chinese Journal of Gastrointestinal Surgery 2016;19(8):902-906
CountryChina
Language:Chinese
Abstract:
OBJECTIVETo investigate the feasibility and safety of uncut Roux-en-Y gastroduodenostomy in totally laparoscopic distal gastrectomy (TLDG) for gastric cancer.
METHODSClinical data of 30 gastric cancer patients from 4 hospitals undergoing TLDG plus uncut Roux-en-Y gastroduodenostomy from February 2014 to January 2015 were analyzed retrospectively.
RESULTSAmong 30 gastric cancer patients, 8 were in Guangdong General Hospital, 9 in The Second Hospital of Jilin University, 4 in Ruijin Hospital and 9 in Fujian Provincial Cancer Hospital, who were diagnosed as distal gastric cancer by pathology without distant metastasis. The clinical staging of these patients was stage I(A in 7 cases, stage I(B in 4, stage II(A in 6, stage II(B in 5, stage III(A in 5, stage III(B in 1, stage III(C in 2. All the main surgeons were experienced with more than 50 operations of totally laparoscopic distal gastrectomy for gastric cancer. All the 30 patients completed operations successfully. The incision length was (4.8±1.2) cm, total operation time and anastomosis time was (223.5±47.2) and (52.8±10.9) minutes, intra-operative blood loss was (53.0±30.7) ml and number of harvested lymph nodes was 36.9±0.9. No case was transferred to open operation. The detain time of gastric tube was (2.5±1.2) days, the first time to flatus was (2.9±0.9) days and the first time to liquid diet intake was (2.9±1.2) days. No perioperative death was found. Postoperative lymphatic leakage occurred in 1 case and peritoneal bleeding occurred in 1 case, which was cured by conservative treatment. No one developed anastomosis-related complication.
CONCLUSIONUncut Roux-en-Y gastroduodenostomy reconstruction is safe and feasible in totally laparoscopic distal gastrectomy for gastric cancer.