Intracorporeal Bi-directional Pouch Jejunojejunostomy Following Roux-en-Y Anastomosis: a Simple Reconstruction Technique Using an Endoscopic Linear Stapler

Overview

Journal Wideochir Inne Tech Maloinwazyjne

Publisher Termedia

Date 2021 Dec 24

PMID 34950265

Citations 1

Authors

Amy Kim

Chang Seok Ko

Byung Sik Kim

Hee Sung Kim

Affiliations

Soon will be listed here.

Abstract

Introduction: Intracorporeal pouch jejunojejunostomy (JJ) is a technically challenging procedure during totally laparoscopic gastrectomy (TLG).

Aim: This study introduced a new method involving the construction of an intracorporeal bi-directional pouch JJ using an endoscopic linear stapler and analyzed the surgical outcomes of this method, including JJ complications.

Material And Methods: We retrospectively reviewed the medical records of 168 patients who underwent laparoscopic gastrectomy with intracorporeal bi-directional pouch JJ between November 2017 and October 2018 at Asan Medical Center.

Results: The construction of an intracorporeal bi-directional pouch JJ took an average of 10 min. No postoperative bleeding or anastomotic strictures related to JJ reconstruction occurred after this procedure. No mortality occurred during follow-up.

Conclusions: Intracorporeal bi-directional pouch JJ using an endoscopic linear stapler is a safe and simple procedure. It is a feasible option to reduce JJ stricture after TLG in patients with gastric cancer.

Citing Articles

Treatment and Prevention of Postoperative Leakage after Gastrectomy for Gastric Cancer.

Jeong S, Lee J, Seo K, Min J J Clin Med. 2023; 12(12).

PMID: 37373575 PMC: 10299500. DOI: 10.3390/jcm12123880.

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