Advertisement

Reconstruction by Billroth I Method

  • Hyuk-Joon Lee
  • Jin-Jo Kim
  • Naoki Hiki
  • Shinya Tanimura

Abstract

Gastroduodenostomy (Billroth I) is one of the most common reconstruction methods after distal gastrectomy. The advantage of Billroth I over Billroth II or Roux-en-Y gastrojejunostomy is that the operating time is short, the normal duodenal passage of food is preserved, and the afferent loop syndrome is avoided. According to the Korean nationwide survey performed by the Korean Gastric Cancer Association, Billroth I reconstruction was performed in 55.3% of all distal gastrectomy cases in 2004 [1].

Keywords

Linear Stapler Remnant Stomach Circular Stapler Duodenal Stump Proximal Resection Margin 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Information Committee of the Korean Gastric Cancer Association (2007) 2004 Nationwide gastric cancer report in Korea. J Korean Gastric Cancer Assoc 7:47–54Google Scholar
  2. 2.
    Lee SI, Choi YS, Park DJ et al (2006) Comparative study of laparoscopy-assisted distal gastrectomy and open distal gastrectomy. J Am Coll Surg 202:874–880PubMedCrossRefGoogle Scholar
  3. 3.
    Kim MC, Choi HJ, Jung GJ et al (2007) Techniques and complications of laparoscopy-assisted distal gastrectomy (LADG) for gastric cancer. Eur J Surg Oncol 33:700–705PubMedCrossRefGoogle Scholar
  4. 4.
    Noshiro H, Nagai E, Shimizu S et al (2005) Laparoscopically assisted distal gastrectomy with standard radical lymph node dissection for gastric cancer. Surg Endosc 19:1592–1596PubMedCrossRefGoogle Scholar
  5. 5.
    Lee HJ, Kim HH, Kim MC et al (2009) The impact of a high body mass index on laparoscopy assisted gastrectomy for gastric cancer. Surg Endosc 23:2473–2479PubMedCrossRefGoogle Scholar
  6. 6.
    Lee JH, Kim YW, Ryu KW et al (2007) A phase-II clinical trial of laparoscopy-assisted distal gastrectomy with D2 lymph node ­dissection for gastric cancer patients. Ann Surg Oncol 14:3148–3153PubMedCrossRefGoogle Scholar
  7. 7.
    Hiki N, Fukunaga T, Tokunaga M et al (2009) An effective ­duodenum bulb mobilization for extracorporeal Billroth I anastomosis of laparoscopic gastrectomy. J Gastrointest Surg 13:230–235PubMedCrossRefGoogle Scholar
  8. 8.
    Park JM, Jin SH, Lee SR et al (2008) Complications with laparoscopically assisted gastrectomy: multivariate analysis of 300 consecutive cases. Surg Endosc 22:2133–2139PubMedCrossRefGoogle Scholar
  9. 9.
    Yang HK, Lee HJ, Ahn HS et al (2007) Safety of modified double-stapling end-to-end gastroduodenostomy in distal subtotal gastrectomy. J Surg Oncol 96:624–629PubMedCrossRefGoogle Scholar
  10. 10.
    Kim JJ, Song KY, Chin HM et al (2008) Totally laparoscopic gastrectomy with various types of intracorporeal anastomosis using laparoscopic linear staplers: preliminary experience. Surg Endosc 22:436–442PubMedCrossRefGoogle Scholar
  11. 11.
    Kanaya S, Gomi T, Momoi H et al (2002) Delta-shaped anastomosis in totally laparoscopic Billroth I gastrectomy: new technique of intraabdominal gastroduodenostomy. J Am Coll Surg 195:284–287PubMedCrossRefGoogle Scholar
  12. 12.
    Tanimura S, Higashino M, Fukunaga Y et al (2008) Intracorporeal Billroth 1 reconstruction by triangulating stapling technique after laparoscopic distal gastrectomy for gastric cancer. Surg Laparosc Endosc Percutan Tech 18:54–58PubMedCrossRefGoogle Scholar
  13. 13.
    Mayers TM, Orebaugh MG (1998) Totally laparoscopic Billroth I gastrectomy. J Am Coll Surg 186:100–103PubMedCrossRefGoogle Scholar
  14. 14.
    Takiguchi S, Sekimoto M, Miyake Y et al (2003) Totally laparoscopic distal gastrectomy using the hand-sewn Billroth-I anastomotic technique: report of a case. Surg Today 33:371–374PubMedCrossRefGoogle Scholar
  15. 15.
    Ichikawa D, Kubota T, Kikuchi S et al (2009) Intracorporeal Billroth-I anastomosis using a circular stapler by the abdominal wall lifting method in laparoscopy-assisted distal gastrectomy. Surg Laparosc Endosc Percutan Tech 19:e163–e166PubMedCrossRefGoogle Scholar
  16. 16.
    Hyung WJ, Lim JS, Cheong JH et al (2005) Intraoperative tumor localization using laparoscopic ultrasonography in laparoscopic-assisted gastrectomy. Surg Endosc 19:1353–1357PubMedCrossRefGoogle Scholar
  17. 17.
    Tanimura S, Higashino M, Fukunaga Y et al (2003) Laparoscopic distal gastrectomy with regional lymph node dissection for gastric cancer. Surg Endosc 17:758–762PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2012

Authors and Affiliations

  • Hyuk-Joon Lee
    • 1
  • Jin-Jo Kim
    • 2
  • Naoki Hiki
    • 3
  • Shinya Tanimura
    • 3
  1. 1.Department of Surgery and Cancer Research InstituteSeoul National University Hospital, Seoul National University College of MedicineJongno-guKorea
  2. 2.Department of Surgery, Incheon St. Mary’s HospitalThe Catholic University of KoreaBupyeong-guKorea
  3. 3.Gastroenterological Center, Department of Gastroenterological Surgery, Cancer Institute HospitalJapanese Foundation for Cancer ResearchKoto-kuJapan

Personalised recommendations