Postoperative Outcomes of Roux-en Y Reconstruction With Double Stapling and Intracorporeal Sutures; in a Totally Laparoscopic Distal Gastrectomy

Jung Ho Shim, MD, Kyo Young Song. Department of Surgery, College of Medicine, The Catholic University of Korea


Background: This study was designed to evaluate the feasibility and clinical outcomes of a Roux-en Y reconstruction in a totally laparoscopic distal gastrectomy (TLDG).
Methods: Between January 2011 and August 2011, we had performed 84 totally laparoscopic distal gastrectomies. Of these, thirty sevens totally laparoscopic distal gastrectomies with Roux-en Y reconstructions were reviewed. And we evaluated the clinical data, including age, gender, BMI, operation time, hospital stay, co-morbidity, postoperative complication rates, and pathologic stages in those patients.
Results: Of 37 patients who underwent TLDG, there is no intraoperative complication or conversion to open surgery. In all cases, we used laparoscopic staplers and intracorpoeral suture techniques to close the entry site of the linear staplers. The mean operation time was 135 ± 24.9 min, and the mean anastomosis time was 26.2 ±3.5min. There were 4 cases of Roux stasis, one duodenal stump leakage, and one patient was required to have reoperation due to the internal herniation with afferent loop obstruction. But there is no operation related mortality. Postoperative fluorography revealed no anastomosis leakage or stenosis in any of the patients. Patients resumed an oral liquid diet on postoperative day 4.3 ± 1.75 days.
Conclusion: In this study, we have successfully performed TLDG with Roux-en Y reconstruction using our technique in 37 patients. This is a feasible and safe operative management on patients with distal gastric cancers.

Session Number: Poster – Poster Presentations
Program Number: P238
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