Journal of Gastric Cancer

  • 제11권4호
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  • Pages.219-224
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  • 2011
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  • 2093-582X(pISSN)
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  • 2093-5641(eISSN)
대한위암학회 (The Korean Gastric Cancer Association)
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Efficacy of Roux-en-Y Reconstruction Using Two Circular Staplers after Subtotal Gastrectomy: Results from a Pilot Study Comparing with Billroth-I Reconstruction

  • Kim, Tae-Gyun (Department of Surgery, Ajou University School of Medicine) ;
  • Hur, Hoon (Department of Surgery, Ajou University School of Medicine) ;
  • Ahn, Chang-Wook (Department of Surgery, Ajou University School of Medicine) ;
  • Xuan, Yi (Department of Surgery, Ajou University School of Medicine) ;
  • Cho, Yong-Kwan (Department of Surgery, Ajou University School of Medicine) ;
  • Han, Sang-Uk (Department of Surgery, Ajou University School of Medicine)
  • 투고 : 2011.09.17
  • 심사 : 2011.10.12
  • 발행 : 2011.12.30
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초록

Purpose: The Roux en Y method has rarely been performed due to longer operation time and high risk of complication, despite several merits including prevention of bile reflux. We conducted a retrospective review of the result of Roux en Y reconstruction using two circular staplers after subtotal gastrectomy. Materials and Methods: From December 2008 to May 2009, a total of 26 patients underwent Roux en Y reconstruction using two circular staplers after subtotal gastrectomy, and seventy-two patients underwent Billroth-I reconstruction. Roux en Y anastomosis was performed using two circular staplers without hand sewing anastomosis. We compared clinicopathologic features and surgical outcomes between the two groups. All patients underwent gastrofiberscopy between six and twelve months after surgery to compare the bile reflux. Results: No significant differences in clinicopathologic findings were observed between the two groups, except for the rate of minimal invasive surgery (P=0.004) and cancer stage (P=0.002). No differences in the rate of morbidity (P=0.353) and admission duration (P=0.391) were observed between the two groups. Gastrofiberscopic findings showed a significant reduction of bile reflux in the remnant stomach in the Roux en Y group (P=0.019). Conclusions: When compared with Billroth-I reconstruction, Roux en Y reconstruction using the double stapler technique was found to reduce bile reflux in the remnant stomach without increasing postoperative morbidity. Based on these results, we planned to begin a randomized controlled clinical trial for comparison of Roux en Y reconstruction using this method with Billroth-I anastomosis.

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참고문헌

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피인용 문헌

  1. A Novel Roux-en-Y Reconstruction Involving the Use of Two Circular Staplers after Distal Subtotal Gastrectomy for Gastric Cancer vol.17, pp.3, 2011, https://doi.org/10.5230/jgc.2017.17.e32
  2. Response: vol.89, pp.4, 2011, https://doi.org/10.1016/j.gie.2018.11.030
  3. Revisiting Laparoscopic Reconstruction for Billroth 1 Versus Billroth 2 Versus Roux-en-Y After Distal Gastrectomy: A Systematic Review and Meta-Analysis in the Modern Era vol.43, pp.6, 2011, https://doi.org/10.1007/s00268-019-04943-x