Skip to main content

Open Surgery for Gastric Cancer: Reconstruction

  • Chapter
  • First Online:
Surgery for Gastric Cancer
  • 1096 Accesses

Abstract

Restoring gastrointestinal continuity has remained an issue since the first successful gastrectomy. Although various reconstruction techniques are possible after gastrectomy, researchers and clinicians have yet to decide on an optimal or ideal reconstruction method. When choosing a reconstruction method, surgeons should seek to maintain, in addition to surgical and oncological stability, quality of life by ensuring nutritional intake after surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Information Committee of Korean Gastric Cancer A. Korean gastric cancer association nationwide survey on gastric cancer in 2014. J Gastric Cancer. 2016;16(3):131–40. https://doi.org/10.5230/jgc.2016.16.3.131.

    Article  Google Scholar 

  2. Lee JH, Hyung WJ, Kim HI, Kim YM, Son T, Okumura N, Hu Y, Kim CB, Noh SH. Method of reconstruction governs iron metabolism after gastrectomy for patients with gastric cancer. Ann Surg. 2013;258(6):964–9. https://doi.org/10.1097/SLA.0b013e31827eebc1.

    Article  PubMed  Google Scholar 

  3. Kim BJ, O’Connell T. Gastroduodenostomy after gastric resection for cancer. Am Surg. 1999;65(10):905–7.

    CAS  PubMed  Google Scholar 

  4. Nance FC. New techniques of gastrointestinal anastomoses with the EEA stapler. Ann Surg. 1979;189(5):587–600.

    Article  CAS  Google Scholar 

  5. Hori S, Ochiai T, Gunji Y, Hayashi H, Suzuki T. A prospective randomized trial of hand-sutured versus mechanically stapled anastomoses for gastroduodenostomy after distal gastrectomy. Gastric Cancer. 2004;7(1):24–30. https://doi.org/10.1007/s10120-003-0263-2.

    Article  PubMed  Google Scholar 

  6. Takahashi T, Saikawa Y, Yoshida M, Otani Y, Kubota T, Kumai K, Kitajima M. Mechanical-stapled versus hand-sutured anastomoses in billroth-I reconstruction with distal gastrectomy. Surg Today. 2007;37(2):122–6. https://doi.org/10.1007/s00595-006-3361-z.

    Article  PubMed  Google Scholar 

  7. An JY, Yoon SH, Pak KH, Heo GU, Oh SJ, Hyung WJ, Noh SH. A novel modification of double stapling technique in Billroth I anastomosis. J Surg Oncol. 2009;100(6):518–9. https://doi.org/10.1002/jso.21368.

    Article  PubMed  Google Scholar 

  8. Kim YN, Aburahmah M, Hyung WJ, Noh SH. A simple method for tension-free Billroth I anastomosis after gastrectomy for gastric cancer. Transl Gastroenterol Hepatol. 2017;2:51. https://doi.org/10.21037/tgh.2017.05.08.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Umasankar A, Kate V, Ananthakrishnan N, Smile SR, Jagdish S, Srinivasan K. Anterior or posterior gastro-jejunostomy with truncal vagotomy for duodenal ulcer—are they functionally different? Trop Gastroenterol. 2003;24(4):202–4.

    CAS  PubMed  Google Scholar 

  10. Kojima K, Yamada H, Inokuchi M, Kawano T, Sugihara K. A comparison of Roux-en-Y and Billroth-I reconstruction after laparoscopy-assisted distal gastrectomy. Ann Surg. 2008;247(6):962–7. https://doi.org/10.1097/SLA.0b013e31816d9526.

    Article  PubMed  Google Scholar 

  11. Inokuchi M, Kojima K, Yamada H, Kato K, Hayashi M, Motoyama K, Sugihara K. Long-term outcomes of Roux-en-Y and Billroth-I reconstruction after laparoscopic distal gastrectomy. Gastric Cancer. 2013;16(1):67–73. https://doi.org/10.1007/s10120-012-0154-5.

    Article  PubMed  Google Scholar 

  12. Chin AC, Espat NJ. Total gastrectomy: options for the restoration of gastrointestinal continuity. Lancet Oncol. 2003;4(5):271–6.

    Article  Google Scholar 

Download references

Disclosures

This work was not supported by external or grant funding. None of the authors reports commercial associations or financial involvement that pose a conflict of interest in connection with the submitted article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Woo Jin Hyung .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer-Verlag GmbH Germany, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lee, J.H., Hyung, W.J. (2019). Open Surgery for Gastric Cancer: Reconstruction. In: Noh, S., Hyung, W. (eds) Surgery for Gastric Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45583-8_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-45583-8_9

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45582-1

  • Online ISBN: 978-3-662-45583-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics