Reconstruction Using the Roux-Y Method
In 1992, Goh et al.  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.  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 , an increasing number of laparoscopic surgeons have modified this technique. In 1999, Uyama et al.  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.  reported another totally laparoscopic Roux-Y reconstruction procedure to prevent torsion of the jejunal loop.
KeywordsInternal Hernia Remnant Stomach Laparoscopic Gastrectomy Jejunal Loop Stomal Ulcer
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