Wang Nan, Qiao Qing, Wu Tao, Zheng Bobo, Xie Shuang, Wang Ke, Zhang Bo, Yang Ying, Zhou Shuai, He Xianli
Department of General Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an 710038, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2015 Nov;18(11):1102-5.
To explore the technical feasibility, safety, and clinical efficacy of β-shaped Roux-en-Y reconstruction(β reconstruction) in totally laparoscopic distal gastrectomy (TLDG).
Clinical data of 21 patients with gastric cancer undergoing TLDG with β reconstruction from January 2014 to May 2014 were retrospectively analyzed.
TLDG with β reconstruction was successfully performed in all the patients. The mean time of operation and β reconstruction was (229.0±18.7) min and (27.5±4.2) min. The blood loss was (91.0±38.3) ml and number of dissected lymph node was 33.2±4.6 per patient. The length of upper and lower segment of resection from lesion was (5.9±0.4) cm and (3.2±0.8) cm. The average time to resume fluid diet, time to restore flatus and hospital stay were (2.1±0.8) d, (3.1±0.9) d and (5.9±2.4) d, respectively.
The β reconstruction is a safe and feasible procedure for TLDG and provides satisfactory short-term efficacy.
