title: Total laparoscopic distal gastrectomy with Roux-en Y reconstruction.
abstract: OBJECTIVE
  The aim of this study was to introduce our technique and evaluate the technical efficacy of Roux-en Y (RY) reconstruction after total laparoscopic distal gastrectomy (TLDG).
  
  
  METHODS
  We performed TLDG using our own method of RY-type anastomosis in a total of 38 consecutive patients with gastric adenocarcinomas and evaluated the techniques and postoperative outcomes.
  
  
  RESULTS
  The mean operative time was 144.5 ± 22.4 minutes, including reconstruction time, which was 26.2 ± 3.5 minutes. Most patients were of pathologic stage IA (76.3%) or IB (10.5%), 3 patients were of stage II, and 2 were of stage IIIA. The length of postoperative hospital stay was 8.3 ± 3.3 days (range, 5 to 20 d). Two cases required reoperation because of internal herniation. According to our endoscopic observation, bile reflux into the gastric remnant stump was not found.
  
  
  CONCLUSIONS
  TLDG with RY reconstruction is technically feasible in gastric cancer patients.
authors.affiliation: Department of Surgery, Division of Gastrointestinal Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Jung Ho
authors.initials: JH
authors.lastname: Shim
authors.forename: Jun Gi
authors.initials: JG
authors.lastname: Kim
authors.forename: Han Mo
authors.initials: HM
authors.lastname: Yoo
authors.forename: Seong Il
authors.initials: SI
authors.lastname: Oh
authors.forename: Hae Myung
authors.initials: HM
authors.lastname: Jeon
authors.forename: Cho Hyun
authors.initials: CH
authors.lastname: Park
authors.forename: Kyo Young
authors.initials: KY
authors.lastname: Song
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D000713:Anastomosis, Roux-en-Y / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome