title: β-Shaped intracorporeal Roux-en-Y reconstruction after totally laparoscopic distal gastrectomy.
abstract: BACKGROUND
  The use of laparoscopic gastrectomy for the treatment of gastric cancer has been increasing. Roux-en-Y (R-Y) reconstruction after laparoscopy-assisted distal gastrectomy is now widely used to decrease leakage and prevent reflux. Owing to the need for a less invasive technique, we have developed a new technique for intracorporeal R-Y reconstruction (β reconstruction) after totally laparoscopic distal gastrectomy (TLDG).
  
  
  METHODS
  In this report, we describe the β reconstruction technique and short-term outcomes of the initial 105 patients who underwent β reconstruction from December 2008 to March 2012.
  
  
  RESULTS
  The operative and β reconstruction times were 330 ± 61.3 and 29 ± 5.6 min (mean ± SD), respectively. Anastomotic leakage after gastrojejunostomy occurred in one patient (0.9 %), requiring reoperation. Four cases (3.8 %) of anastomotic stenosis required endoscopic balloon dilation. However, R-Y stasis was not noted.
  
  
  CONCLUSIONS
  We have indicated a technical description as well as the usefulness of β-shaped intracorporeal R-Y reconstruction after TLDG.
authors.affiliation: Department of Esophageal and Gastric Surgery, Tokyo Medical and Dental University, Tokyo, Japan, motoyama@kb3.so-net.ne.jp.
authors.forename: Kazuo
authors.initials: K
authors.lastname: Motoyama
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Kojima
authors.forename: Mikiko
authors.initials: M
authors.lastname: Hayashi
authors.forename: Keiji
authors.initials: K
authors.lastname: Kato
authors.forename: Mikito
authors.initials: M
authors.lastname: Inokuchi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sugihara
mesh_terms: D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D003251:Constriction, Pathologic / Q000473:pathology; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation / Q000706:statistics & numerical data; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome