Internal Hernia After Laparoscopic Gastric Resection with Antecolic Roux-en-Y Reconstruction for Gastric Cancer

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2011 May 17

PMID 21573714

Citations 18

Authors

Yoshinori Hosoya

Alan Lefor

Takashi Ui

Hidenori Haruta

Kentaro Kurashina

Shin Saito

Toru Zuiki

Naohiro Sata

Yoshikazu Yasuda

Affiliations

Soon will be listed here.

Abstract

Background: To decrease the incidence of internal hernia after laparoscopic gastric bypass, current recommendations include closure of mesenteric defects. Laparoscopic gastric resection is used increasingly for the treatment of gastric cancer, but the incidence of internal hernia in the treated patients has not been studied.

Methods: This study retrospectively reviewed 173 patients who underwent laparoscopic resection for gastric cancer at one institution, including distal and total gastric resections with antecolic Roux-en-Y reconstruction.

Results: An internal hernia occurred in 4 (7%) of 58 patients whose jejunojejunal mesenteric defect was not closed a mean of 326 days after surgery. All the patients underwent reoperation with reduction and repair of the hernia. In 115 subsequent cases, with closure of the mesenteric defect, internal hernias did not occur (0/115 cases; p < 0.05).

Conclusion: Based on the current recommendations for patients undergoing bariatric surgery, closure of this potential hernia defect is mandatory after laparoscopic gastrectomy with a Roux-en-Y reconstruction for gastric cancer.

Citing Articles

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Comparison between the mesenteric fixation method (MEFIX) and conventional methods at preventing the occurrence of Petersen's hernia: a study protocol for a multicenter randomized controlled trial.

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Apostolou K, Lazaridis I, Kanavidis P, Triantafyllou M, Gkiala A, Alexandrou A Langenbecks Arch Surg. 2023; 408(1):49.

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Assessing optimal Roux-en-Y reconstruction technique after total gastrectomy using the Postgastrectomy Syndrome Assessment Scale-45.

Ikeda M, Yoshida M, Mitsumori N, Etoh T, Shibata C, Terashima M World J Clin Oncol. 2022; 13(5):376-387.

PMID: 35662987 PMC: 9153078. DOI: 10.5306/wjco.v13.i5.376.

Risk Factor and Surgical Outcome of Petersen's Hernia After Gastrectomy in Gastric Cancer.

Liu S, Hu Q, Song P, Tao L, Ai S, Miao J Front Oncol. 2021; 11:765509.

PMID: 34820331 PMC: 8606515. DOI: 10.3389/fonc.2021.765509.

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