Full robotic Roux-en-Y reconstruction after gastrectomy for gastric cancer: a loop reconstruction technique

Abstract

A robotic approach with radical lymph node dissection for gastric cancers is a safe and effective surgical procedure. However, there are still only a few studies in the reconstruction procedure after gastrectomy and many aspects of the use of the robotic surgical system remain controversial. In Roux-en-Y reconstruction, most institutions are adapted for reconstruction using small laparotomy due to the complicated procedure. We, therefore, developed a new and easy procedure for full robotic Roux-en-Y reconstruction after robotic gastrectomy. We named this procedure “loop reconstruction technique”. This article including video shows our loop reconstruction technique with an intracorporeal robot-sewn anastomosis after robotic gastrectomy.

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Correspondence to Toshiyasu Ojima.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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All patients gave informed consent, in accordance with the guidelines of the Ethics Committee on Human Research at WMUH.

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Ojima, T., Nakamura, M. & Yamaue, H. Full robotic Roux-en-Y reconstruction after gastrectomy for gastric cancer: a loop reconstruction technique. Updates Surg 72, 1279–1281 (2020). https://doi.org/10.1007/s13304-020-00889-1

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Keywords

  • Gastric cancer
  • Robotic surgery
  • Roux-en-Y reconstruction
  • Loop reconstruction technique