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Three-Port Right-Side Approach-Duet Totally Laparoscopic Distal Gastrectomy for Uncut Roux-en-Y Reconstruction
- Source :
- Journal of Laparoendoscopic & Advanced Surgical Techniques. 28:1109-1114
- Publication Year :
- 2018
- Publisher :
- Mary Ann Liebert Inc, 2018.
-
Abstract
- This study presents the initial feasibility of three-port right-side approach-duet totally laparoscopic distal gastrectomy (R-duet TLDG) with uncut Roux-en-Y (R-Y) reconstruction for the treatment of lower- or middle-third gastric cancer.A total of 30 patients who underwent R-duet TLDG with uncut R-Y reconstruction for gastric cancer were enrolled. All patients were treated at the Catholic Medical Center. Reconstructions were performed intracorporeally without special instruments. The clinicopathological characteristics, operative details, postoperative short-term outcomes, and postoperative follow-up endoscopy results were analyzed retrospectively.All operations were performed by three-port R-duet TLDG. There were no conversions to an open approach, and no additional ports were placed. The mean operating time was 170 minutes, and the mean number of retrieved lymph nodes was 44. Three patients experienced mild postoperative complications, including small bowel ileus and pneumonia. Follow-up endoscopy was carried out at 3 months. No patients had experienced moderate-or-severe food stasis, alkaline gastritis, or bile reflux during the follow-up period. Recanalization of the biliopancreatic limb was not observed.R-duet TLDG with uncut R-Y reconstruction could be safely performed as a reduced port surgery without special instruments.
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Adenocarcinoma
03 medical and health sciences
0302 clinical medicine
Port (medical)
Gastrectomy
Stomach Neoplasms
Humans
Medicine
Aged
Retrospective Studies
business.industry
Anastomosis, Roux-en-Y
Middle Aged
Roux-en-Y anastomosis
Surgery
Treatment Outcome
030220 oncology & carcinogenesis
Feasibility Studies
Female
Laparoscopy
030211 gastroenterology & hepatology
business
Laparoscopic distal gastrectomy
Follow-Up Studies
Subjects
Details
- ISSN :
- 15579034 and 10926429
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Journal of Laparoendoscopic & Advanced Surgical Techniques
- Accession number :
- edsair.doi.dedup.....c863ab884144253a69df58cee78e7e37