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Reconstruction Using the Roux-Y Method

  • Hideo Matsui
  • Jin-Jo Kim

Abstract

In 1992, Goh et al. [1] first reported a laparoscopic gastrojejunostomy as a reconstruction procedure following laparoscopic gastrectomy for a benign gastric ulcer. Since then, the indications for laparoscopic gastrectomy have been extended to include gastric cancer. In 1995, Kitano et al. [2] used an extracorporeal gastroduodenostomy with manual suturing as a reconstruction procedure for distal gastrectomy. The improvements in stapling devices contributed to the easy access to the site of operation. Since first establishing totally laparoscopic Roux-Y gastric bypass surgery for morbid obesity [3], an increasing number of laparoscopic surgeons have modified this technique. In 1999, Uyama et al. [4] reported a totally laparoscopic Roux-Y reconstruction procedure for gastric cancer surgery in which an intracorporeal, antiperistaltic gastrojejunostomy was performed using linear stapling devices. Takaori et al. [5] reported another totally laparoscopic Roux-Y reconstruction procedure to prevent torsion of the jejunal loop.

Keywords

Internal Hernia Remnant Stomach Laparoscopic Gastrectomy Jejunal Loop Stomal Ulcer 
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.

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Copyright information

© Springer 2012

Authors and Affiliations

  1. 1.Kawasaki Takatsu Clinic and IHCMKawasakiJapan
  2. 2.Department of Surgery, Incheon St. Mary’s HospitalThe Catholic University of KoreaBupyeong-guKorea

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