Intracorporeal gastrojejunostomy in Roux‑en‑Y reconstruction with its efferent loop located on the patient's left side following totally laparoscopic distal gastrectomy: A case report

Tokuhara,Takaya; Nakata,Eiji; Ogata,Akihito; Tenjo,Toshiyuki; Kawai,Isao; Kondo,Keisaku; Hatabe,Shigeru; Yokoyama,Kazutake

doi:10.3892/mco.2021.2480

February-2022 Volume 16 Issue 2

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February-2022 Volume 16 Issue 2

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Case Report Open Access

Intracorporeal gastrojejunostomy in Roux‑en‑Y reconstruction with its efferent loop located on the patient's left side following totally laparoscopic distal gastrectomy: A case report

Authors:
- Takaya Tokuhara
- Eiji Nakata
- Akihito Ogata
- Toshiyuki Tenjo
- Isao Kawai
- Keisaku Kondo
- Shigeru Hatabe
- Kazutake Yokoyama
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Affiliations: Department of Surgery, Tanigawa Memorial Hospital, Osaka 567‑0031, Japan, Department of Surgery, Otori Stomach and Intestines Hospital, Osaka 593‑8311, Japan

Copyright: © Tokuhara et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 47
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Published online on: December 23, 2021

https://doi.org/10.3892/mco.2021.2480
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Abstract

The drawback of intracorporeal gastrojejunostomy using only endoscopic linear staplers in antecolic Roux‑en‑Y (R‑Y) reconstruction with its efferent loop located on the patient's left side following totally laparoscopic distal gastrectomy (TLDG) is the occurrence of anastomotic failure, even though this reconstruction system is assumed to prevent intraoperative and postoperative twisting of the gastrojejunostomy and lifted jejunum. This case report presents two patients with gastric cancer who underwent intracorporeal gastrojejunostomy consisting of linear stapling and hand suturing in antecolic R‑Y reconstruction with its efferent loop located on the patient's left side following TLDG to prevent anastomotic failure of the gastrojejunostomy. After the sacrificed jejunum was created, linear stapling of the greater curvature of the remnant stomach and the lifted jejunum without dividing the jejunum was performed. After removing the sacrificed jejunum and creating a good view of the posterior side of the stapler entry hole, the stapler entry hole was closed from the posterior side to the anterior side, using a single‑layer full‑thickness and serosubmucosal hand suturing technique with knotted sutures and a knotless barbed suture. No anastomotic failure of the gastrojejunostomy occurred in either patient. Intracorporeal gastrojejunostomy consisting of linear stapling and hand suturing could be an option for gastrojejunostomy in antecolic R‑Y reconstruction with its efferent loop located on the patient's left side following TLDG because it can aid in the prevention of anastomotic failure.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Intracorporeal gastrojejunostomy in Roux‑en‑Y reconstruction with its efferent loop located on the patient's left side following totally laparoscopic distal gastrectomy: A case report

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