Laparoscopic Uncut Roux-en-Y Anastomosis In The Distant Gastrectomy For Gastric Cancer: A Report Of 92 Patients | 58080
Journal of Gastrointestinal & Digestive System
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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.