Double stapling Roux-en-Y reconstruction in a laparoscopy-assisted distal gastrectomy.
OBJECTIVE
The purpose of this study is to introduce the technical details of double stapling Roux-en-Y (R-Y) reconstruction and evaluate its short-term results.


METHODS
Twenty-three patients who underwent a laparoscopy assisted distal gastrectomy with R-Y reconstruction between May 2007 and December 2008 were enrolled in this study. This investigation analyzed the clinicopathological data, the surgical data, and the postoperative outcome.


RESULTS
There were 14 males and 9 females, and the mean age was 60.1 years (range, 51-66 years). The mean number of the retrieved lymph nodes was 37.3 (range, 17-67), and stage IA in 22 patients and stage IB in 1 patient. The total operation time was 198.3 min (range, 165-210 min), the intracorporeal operation time was 118.0 min (range, 95-130 min), and the extracorporeal operation time was 80.2 min (range, 70-90 min). The mean length of the incision was 3.5 cm (range, 3.2-3.8 cm). There was no leakage, stricture, or Roux stasis syndrome, and 3 cases (13%) of remnant gastritis occurred postoperatively.


CONCLUSIONS
Double stapling R-Y anastomosis can be performed easily, quickly, and safely, and it is particularly useful in a laparoscopy-assisted distal gastrectomy. This method is advantageous in terms of the operation time and the cost effectiveness.
Kim
Dae Hwan
DH
Department of Surgery, Pusan National University Hospital, Ami-Dong, Seo-Ku, Busan 602-739, Republic of Korea.
Kim
Hae Young
HY
Kim
Dong Heon
DH
Jeon
Tae Yong
TY
Hwang
Sun Hwi
SH
Kim
Gwang Ha
GH
D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D016896:Treatment Outcome