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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (04): 372-372. doi: 10.3877/cma.j.issn.1674-3946.2023.04.005

Special Issue:

• Specialist Operation Broadcast • Previous Articles     Next Articles

Roux-en-Y(π shaped)reconstruction after total gastrectomy

Ziyu Li(), Xiangyu Gao   

  1. Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
  • Online:2023-08-26 Published:2023-07-18
  • Contact: Ziyu Li
  • Supported by:
    National Natural Foundation of China(82272655, 31870805); National Natural Science Foundation of China(U20A20371); National Natural Science Foundation of China(92259302)

Abstract:

Laparoscopic techniques have become popular for the surgical treatment of gastric cancer and are used for many procedures. However,intracorporeal esophagojejunostomy during laparoscopic total gastrectomy is technically challenging. Various methods of intracorporeal anastomosis for esophagojejunostomy have been applied. However,anastomosis with a circular stapler is troublesome and requires special equipment for purse-string suture and anvil insertion. However,anastomosis methods using linear staplers require advanced techniques and numerous staplers. Totally,π-shape reconstruction(3-in-1 procedure for esophagojejunostomy)is widely used.

Key words: Gastrectomy, D2 Lymphadenectomy, π-Shaped Reconstruction

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