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腹腔镜辅助下胃癌远端胃切除术后未离断的 Roux-en-Y 手术

Laparoscopy-assisted uncut Roux-en-Y operation after distal gastrectomy for gastric cancer.

作者信息

Uyama Ichiro, Sakurai Yoichi, Komori Yoshiyuki, Nakamura Yasuko, Syoji Mitsutaka, Tonomura Syuhei, Yoshida Ikuo, Masui Toshihiko, Inaba Kazuki, Ochiai Masahiro

机构信息

Department of Surgery, Fujita Health University, School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan.

出版信息

Gastric Cancer. 2005;8(4):253-7. doi: 10.1007/s10120-005-0344-5.

DOI:10.1007/s10120-005-0344-5
PMID:16328601
Abstract

In order to prevent the Roux stasis syndrome that sometimes follows Roux-en-Y gastrojejunostomy after distal gastrectomy, a new type of reconstruction, called the uncut Roux-en-Y technique, has been reported. We successfully performed 42 laparoscopy-assisted uncut Roux-en-Y gastrojejunostomies. Here we describe our technique and the initial outcome.

摘要

为预防远端胃切除术后Roux-en-Y胃空肠吻合术有时会出现的Roux停滞综合征,一种新型重建方式,即非离断Roux-en-Y技术已被报道。我们成功实施了42例腹腔镜辅助非离断Roux-en-Y胃空肠吻合术。在此我们描述我们的技术及初步结果。

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Laparoscopy-assisted uncut Roux-en-Y operation after distal gastrectomy for gastric cancer.腹腔镜辅助下胃癌远端胃切除术后未离断的 Roux-en-Y 手术
Gastric Cancer. 2005;8(4):253-7. doi: 10.1007/s10120-005-0344-5.
2
A modified uncut Roux-en-Y anastomosis in totally laparoscopic distal gastrectomy: preliminary results and initial experience.腹腔镜辅助远端胃癌根治术中改良非切割 Roux-en-Y 吻合术:初步结果和初步经验。
Surg Endosc. 2017 Nov;31(11):4749-4755. doi: 10.1007/s00464-017-5551-8. Epub 2017 Apr 14.
3
Standard Roux-en-Y gastrojejunostomy vs. "uncut" Roux-en-Y gastrojejunostomy: a matched cohort study.标准Roux-en-Y胃空肠吻合术与“未切断”Roux-en-Y胃空肠吻合术:一项配对队列研究。
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4
Roux Stasis Syndrome and Gastric Food Stasis After Laparoscopic Distal Gastrectomy with Uncut Roux-en-Y Reconstruction in Gastric Cancer Patients: A Propensity Score Matching Analysis.胃癌患者腹腔镜远端胃切除术后未离断Roux-en-Y重建的Roux停滞综合征和胃食物停滞:一项倾向评分匹配分析
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[Comparison of the safety and the costs between laparoscopic assisted or totally laparoscopic uncut Roux-en-Y and BillrothII(+Braun reconstruction--a single center prospective cohort study].腹腔镜辅助或完全腹腔镜下非离断Roux-en-Y与毕罗Ⅱ式(+布朗吻合术)的安全性及成本比较——一项单中心前瞻性队列研究
Zhonghua Wei Chang Wai Ke Za Zhi. 2018 Mar 25;21(3):312-317.
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[Use of uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer].[胃癌远端胃切除术后未离断的Roux-en-Y重建术的应用]
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Initial experience of single-incision plus one port left-side approach totally laparoscopic distal gastrectomy with uncut Roux-en-Y reconstruction.单切口加单孔左侧入路完全腹腔镜下远端胃切除术并采用非离断式 Roux-en-Y 重建的初步经验
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引用本文的文献

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Surg Endosc. 2025 Aug 25. doi: 10.1007/s00464-025-12089-2.
2
Effect of food loop and duodenal stump fixation on clinical outcomes in patients undergoing radical gastrectomy with Roux-en-Y reconstruction for distal gastric cancer: a single-center propensity score matching analysis.食物袢与十二指肠残端固定对远端胃癌行Roux-en-Y重建根治性胃切除术患者临床结局的影响:一项单中心倾向评分匹配分析
Surg Endosc. 2025 May;39(5):2799-2813. doi: 10.1007/s00464-025-11624-5. Epub 2025 Mar 7.
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本文引用的文献

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Bovine pericardium buttress limits recanalization of the uncut Roux-en-Y in a porcine model.牛心包补片可限制猪模型中未切断的Roux-en-Y肠袢再通。
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Current status of laparoscopic gastrectomy for cancer in Japan.日本腹腔镜胃癌切除术的现状
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Laparoscopic gastric surgery in a Japanese institution: analysis of the initial 100 procedures.日本一家机构的腹腔镜胃手术:对最初100例手术的分析。
Application of λ esophagojejunostomy in total gastrectomy under laparoscopy: a modified technique for post-gastrectomy reconstruction.
λ型食管空肠吻合术在腹腔镜全胃切除术中的应用:一种改良的胃切除术后重建技术。
Front Oncol. 2024 Aug 9;14:1335297. doi: 10.3389/fonc.2024.1335297. eCollection 2024.
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Comparison of uncut Roux-en-Y anastomosis and Billroth-II with Braun anastomosis after distal gastrectomy.远端胃切除术后未切断的 Roux-en-Y 吻合术与毕罗Ⅱ式加布朗吻合术的比较。
Front Surg. 2024 Mar 28;11:1390876. doi: 10.3389/fsurg.2024.1390876. eCollection 2024.
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Uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer.远端胃癌切除术后未切割 Roux-en-Y 重建。
Cochrane Database Syst Rev. 2024 Feb 29;2(2):CD015014. doi: 10.1002/14651858.CD015014.pub2.
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Efficacy and safety of totally laparoscopic gastrectomy with uncut Roux-en-Y for gastric cancer: a dual-center retrospective study.全腹腔镜下不切割 Roux-en-Y 吻合术治疗胃癌的疗效和安全性:一项双中心回顾性研究。
World J Surg Oncol. 2023 Sep 13;21(1):289. doi: 10.1186/s12957-023-03154-y.
7
To cut or not to cut? A prospective randomized controlled trial on short-term outcomes of the uncut Roux-en-Y reconstruction for gastric cancer.切还是不切?一项关于未切割 Roux-en-Y 重建术治疗胃癌短期结局的前瞻性随机对照试验。
Surg Endosc. 2023 Aug;37(8):6172-6184. doi: 10.1007/s00464-023-10067-0. Epub 2023 May 9.
8
Uncut Roux-en-Y gastrojejunostomy after totally laparoscopic distal gastrectomy: Learning curve and surgical outcomes.全腹腔镜远端胃切除术后未离断的Roux-en-Y胃空肠吻合术:学习曲线及手术效果
Korean J Clin Oncol. 2020 Jun;16(1):46-51. doi: 10.14216/kjco.20008. Epub 2020 Jun 30.
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Stapler insertion angle toward the esophagus reduces the incidence of early postoperative Roux stasis syndrome after distal gastrectomy in minimally invasive surgery.吻合器插入食管的角度可降低微创远端胃癌根治术后早期 Roux 滞留综合征的发生率。
BMC Surg. 2023 Mar 11;23(1):54. doi: 10.1186/s12893-023-01954-3.
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Short-term outcomes of sleeve gastrectomy plus uncut jejunojejunal bypass (SG-uncut JJB) in patients with obesity: a preliminary prospective cohort study.肥胖患者行袖状胃切除术加未离断空肠空肠旁路术(SG-uncut JJB)的短期结局:一项初步前瞻性队列研究。
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Laparoscopic gastrectomy with regional lymph node dissection for upper gastric cancer.腹腔镜胃癌根治术治疗胃上部癌并区域淋巴结清扫术
Gastric Cancer. 2003;6(1):64-8. doi: 10.1007/s101200300009.
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Evaluation of gastric emptying with the "uncut" Roux en Y technique.采用“未切断”Roux-en-Y技术评估胃排空情况。
Ann Ital Chir. 1998 Jan-Feb;69(1):41-6; discussion 46-7.
6
Completely laparoscopic extraperigastric lymph node dissection for gastric malignancies located in the middle or lower third of the stomach.完全腹腔镜下胃中下部恶性肿瘤的胃周外淋巴结清扫术
Gastric Cancer. 1999 Nov;2(3):186-190. doi: 10.1007/s101200050044.
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Improvement of the Roux limb function using a new type of "uncut Roux" limb.使用新型“未切断Roux袢”改善Roux袢功能
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Early clinical results with the uncut Roux reconstruction after gastrectomy: limitations of the stapling technique.胃癌切除术后未切断Roux重建术的早期临床结果:吻合器技术的局限性
Am J Surg. 1995 Sep;170(3):262-4. doi: 10.1016/s0002-9610(05)80011-x.
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Reconstructive gastric surgery.重建性胃手术
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Nausea, vomiting, and abdominal pain after Roux-en-Y anastomosis: motility of the jejunal limb.Roux-en-Y吻合术后的恶心、呕吐及腹痛:空肠袢的动力
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