Tsuyoshi Etoh, MD1, Michihiro Ichimanda, MD1, Yohei Kono, MD1, Tomonori Akagi, MD1, Kosuke Suzuki, MD1, Tomotaka Shibata, MD1, Yoshitake Ueda, MD1, Manabu Tojigamori, MD1, Hidefumi Shiroshita, MD1, Norio Shiraishi, MD2, Masafumi Inomata, MD1. 1Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, 2Center for Community Medicine, Oita University Faculty of Medicine
Since 1991, we have introduced laparoscopy-assisted distal gastrectomy (LADG) with B-I reconstruction through mini-laparotomy. Regarding to reconstruction, Roux-en Y reconstruction are also one of the choice in LADG, however, the technical feasibility has not been well documented so far.
The purpose of this study was to compare the short-term outcome of LADG with Roux-en-Y reconstruction through mini-laparotomy compared to that of LADG with B-I anastomosis.
Between 1994 and 2014, 440 patients who underwent LADG for gastric cancer in Oita University were enrolled in this retrospective study. Since 2005, the Roux-en-Y reconstruction has been performed as a standard method in our department. These patients were divided two groups based on anatstomosis; Roux-en-Y (R-Y) group (n=246) and Billroth I (B-I) group (n=194). Baseline characteristics, operative results (including complications) and pathological results were evaluated.
There were a considerably greater number of patients with advanced clinical stage and having ≥T3 invasion in the R-Y group. Estimated blood loss was lower in R-Y than in B-I (P<0.001) and operative time was longer in R-Y than in B-I (P<0.001). There were no significant differences in all grade intra-operative complications (P=0.441). In addition, there were no significant differences in all grade post-operative complications between the two groups except internal hernia. Hospital mortality was 0 % in each group.
LADG with R-Y reconstruction through mini-laparotomy was technically feasible as well as LADG with B-I anastomosis.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87201
Program Number: P701
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster