Laparoscopic Uncut Roux-en-Y Anastomosis In The Distant Gastrectomy For Gastric Cancer: A Report Of 92 Patients | 58080
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

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Laparoscopic uncut Roux-en-Y anastomosis in the distant gastrectomy for gastric cancer: A report of 92 patients

9th Euro Global Gastroenterology Conference

Ze-Kuan Xu, Li Yang, Hao Xu, Diancai Zhang and Fengyuan Li Linjun Wang

The First Affiliated Hospital of Nanjing Medical University, China

Posters & Accepted Abstracts: J Gastrointest Dig Syst

DOI: 10.4172/2161-069X.C1.044

Objective: The aim of this study was to investigate the safety and feasibility of laparoscopic uncut Roux-en-Y anastomosis in the distant gastrectomy for gastric cancer. Methods: The clinical data of 92 patients performed laparoscopic uncut Roux-en-Y anastomosis in the Department of Gastric Surgery, the First Affiliated Hospital of Nanjing Medical University from June 2014 to June 2016 were analyzed retrospectively. Results: The operations were performed successfully for all patients. The mean operation duration, anastomosis time, blood loss and the number of lymph nodes dissection during the surgery were (178.67±29.12) min, (30.84±7.41) min, (48.78±35.64) ml and 34.43±9.84 respectively. The time spent before gastrointestinal motility, liquid-diet intake, out-of-bed ambulation and the average hospitalization days after operation were (76.40±21.47) hours, (5.30±1.25) days, (48.14±20.25) hours and (9.19±3.09) days respectively. Postoperatively, 6 patients experienced complications, including gastrointestinal bleeding (2 patients), duodenal stump fistula (1 patient), Chylorrhea (1 patient), Roux-Y stasis syndrome after gastrectomy (2 patients), all of the complications were cured conservatively. None of the other complications occurred, such as anastomotic fistula, anastomotic stenosis, infection of incision, etc. Conclusion: The laparoscopic uncut Roux-en-Y anastomosis is safe and feasible in the distant gastrectomy with D2 dissection for gastric cancer, with advantages of less trauma, faster recovery and so on.

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