Book-Binding Technique in Totally Laparoscopic Distal Gastrectomy with BillrothI Reconstruction: Clinical Results and Outcomes in 188 Patients with Gastric Cancer. Laparoscopic gastrectomy is widely used as a curative treatment for gastric cancer. Although delta-shaped anastomosis is commonly used for BillrothI anastomosis after totally laparoscopic distal gastrectomy (TLDG), it has some
Comparison of long-term quality of life between Billroth-I and Roux-en-Y anastomosis after distal gastrectomy for gastric cancer: a randomized controlled trial. The results of studies comparing Billroth-I (B-I) with Roux-en-Y (R-Y) reconstruction on the quality of life (QoL) are still inconsistent. The aim of this trial was to compare the long-term QoL of B-I with R-Y anastomosis after curative
Can prospective monitoring improve complication rates after gastrectomy? Experience of BillrothI reconstruction at a high-volume tertiary center. Prospective database is imperative in surgical outcome monitoring and has shown success in providing a comprehensive complication index to monitor surgical quality. This study aims to review whether prospective monitoring has an effect on postoperative complication rates, especially leakage after BillrothI (BI) anastomosis and to identify risk factors of anastomosis leakage after BI anastomosis. Patients who underwent distal gastrectomy with BI reconstruction at Seoul National University Hospital between January 2018 and April 2021 were enrolled. Clinicopathological characteristics and perioperative variables were retrieved. The risk factor
Comparing short-term outcomes after totally laparoscopic distal gastrectomy and laparoscopy-assisted distal gastrectomy with BillrothI anastomosis: early experience of a single institution. To determine the safety and feasibility of totally laparoscopic distal gastrectomy (TLDG) with modified delta-shaped anastomosis, we compared the short-term outcomes of TLDG to those of laparoscopy-assisted distal gastrectomy (LADG) with BillrothI anastomosis. We analyzed the characteristics of 85 patients with gastric cancer who underwent laparoscopic distal gastrectomy with BillrothI anastomosis between January 2013 and December 2018. After propensity score matching, each group had 35 patients. Of these 85 patients, 44 underwent TLDG and 41 underwent LADG. Propensity score matching was performed
Propensity-score-matched analysis of a multi-institutional dataset to compare postoperative complications between BillrothI and Roux-en-Y reconstructions after distal gastrectomy. Few well-controlled studies have compared postoperative complications between BillrothI (B-I) and Roux-en-Y (R-Y). The aim of the present study was to compare the incidence of overall and severe postoperative
Delta-shaped anastomosis vs circular stapler anastomosis after laparoscopic distal gastrectomy with BillrothI reconstruction: A randomized controlled trial. The aim of this study is to evaluate the efficacy of delta-shaped anastomosis compared to circular stapler anastomosis in laparoscopic distal gastrectomy with BillrothI reconstruction. This is a single-center randomized controlled study -shaped anastomosis than in circular stapler anastomosis. We did not demonstrate the advantage of delta-shaped anastomosis in terms of postoperative pain. Since delta-shaped anastomosis tended to cause postoperative abdominal symptoms related to diarrhea, we should carefully apply the delta-shaped anastomosis to laparoscopic distal gastrectomy with BillrothI reconstruction.
Comparison of 5-year postoperative outcomes after BillrothI and Roux-en-Y reconstruction following distal gastrectomy for gastric cancer: Results from a multi-institutional randomized controlled trial. We previously reported in a randomized controlled trial that BillrothI and Roux-en-Y reconstructions were generally equivalent regarding body weight change and nutritional status 1 year after distal gastrectomy for gastric cancer. We describe the long-term follow-up data 5 years after distal gastrectomy. We analyzed consecutive gastric cancer patients who were randomly assigned to undergo BillrothI or Roux-en-Y reconstruction after distal gastrectomy. We evaluated body weight change, nutritional status, late complications, quality of life (QOL) using the European Organization for Research
Billroth-I reconstruction using an overlap method in totally laparoscopic distal gastrectomy: propensity score matched cohort study of short- and long-term outcomes compared with Roux-en-Y reconstruction. Delta-shaped anastomosis is an established procedure for intracorporeal Billroth-I reconstruction (B-I). However, this procedure has several technical and economic problems. The aim
Comparison of BillrothI, Billroth II, and Roux-en-Y Reconstruction After Totally Laparoscopic Distal Gastrectomy: A Randomized Controlled Study. This study aimed to explore the efficacy of delta-shaped BillrothI anastomosis in totally laparoscopic distal gastrectomy for digestive tract reconstruction, and provide clinical data for determining the most appropriate digestive tract reconstruction method after distal gastrectomy. This was a prospective randomized controlled study. A total of 180 patients were randomly and prospectively selected from Renmin Hospital of Wuhan University by random number table. These patients were randomly divided into three groups: BillrothI group, Billroth II group, and Roux-en-Y (RY) group. There were significant differences in resection margin, blood nutrition
Long-term functional outcomes of Roux-en-Y versus BillrothI reconstructions after laparoscopic distal gastrectomy for gastric cancer: a propensity-score matching analysis. Only a few reports discuss long-term functional outcomes and changes observed in patients over several years following a distal gastrectomy. We investigated long-term functional outcomes and changes after laparoscopic distal gastrectomy based on the analysis of postoperative conditions and endoscopic findings observed in patients. The study group comprised 159 patients who underwent Roux-en-Y reconstruction following laparoscopic distal gastrectomy (R-Y group) between December 2008 and November 2012 and 78 patients who underwent BillrothI reconstruction (B-I group) between January 2002 and November 2012. To minimize bias
Augmented rectangle technique for BillrothI anastomosis in totally laparoscopic distal gastrectomy for gastric cancer. BillrothI reconstruction is a means of anastomosis that is widely performed after surgical resection for distal gastric cancer. Interest has grown in totally laparoscopic gastrectomy, and several methods for totally laparoscopic performance of BillrothI reconstruction have to become twisted or stenosed. The technical details of our ART-based BillrothI anastomosis are presented herein along with results of the procedure to date. The technique was applied in 160 patients who underwent totally laparoscopic distal gastrectomy for gastric cancer between December 2013 and August 2017. Clinicopathological data, surgical data, and postoperative outcomes were analyzed. During
A novel method of self-pulling and latter transected delta-shaped Billroth-I anastomosis in totally laparoscopic distal gastrectomy. We developed a modified delta-shaped gastroduodenostomy technique in totally laparoscopic distal gastrectomy. This novel technique, which effectively reduces the required quantity of linear stapler [1-3], was named as self-pulling and latter transected delta-shaped
A simple method for tension-free BillrothI anastomosis after gastrectomy for gastric cancer BillrothI anastomosis (B-I) is a popular reconstructive procedure performed after distal gastrectomy for the treatment of gastric cancer. Herein we introduce a new and simple technique to minimize tension after BillrothI for gastric cancer.
Robotic versus Laparoscopic Distal Gastrectomy with BillrothI and II Reconstruction: A Systematic Review and Meta-Analysis PROSPERO International prospective register of systematic reviews Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms
Body composition changes after totally laparoscopic distal gastrectomy with delta-shaped anastomosis: a comparison with conventional BillrothI anastomosis. The purpose of this study was to compare body composition changes of patients undergoing totally laparoscopic distal gastrectomy (TLDG) with delta-shaped anastomosis (DSA) versus conventional laparoscopic distal gastrectomy (CLDG). Data from
Linear-shaped gastroduodenostomy (LSGD): safe and feasible technique of intracorporeal BillrothI anastomosis. Although delta-shaped gastroduodenostomy (DSGD) is used increasingly as an intracorporeal BillrothI anastomosis after distal gastrectomy, worries about anatomical distortion always exist in twisting stomach and making an oblique incision on duodenum. We developed a new method
Randomized clinical trial comparing long-term quality of life for BillrothI versus Roux-en-Y reconstruction after distal gastrectomy for gastric cancer. Patients' quality of life (QoL) deteriorates remarkably after gastrectomy. BillrothI reconstruction following distal gastrectomy has the physiological advantage of allowing food to pass through the duodenum. It was hypothesized that BillrothI reconstruction would be superior to Roux-en-Y reconstruction in terms of long-term QoL after distal gastrectomy. This study compared two reconstructions in a multicentre prospective randomized clinical trial to identify the optimal reconstruction procedure. Between January 2009 and September 2010, patients who underwent gastrectomy for gastric cancer were randomized during surgery to BillrothI or Roux-en-Y
Totally laparoscopic versus laparoscopy-assisted Billroth-I anastomosis for gastric cancer: a case-control and case-matched study. To evaluate the safety, feasibility and clinical results of the modified delta-shaped gastroduodenostomy (MDSG) in totally laparoscopic distal gastrectomy (TLDG) for gastric cancer (GC). We performed a case-control and case-matched study enrolling 642 patients with GC undergoing laparoscopic distal gastrectomy with Billroth-I anastomosis from January 2011 to December 2014. TLDG with MDSG was performed in 158 patients (Group TL), and laparoscopy-assisted distal gastrectomy with circular anastomosis was performed in 484 patients (Group LA). One-to-one propensity score matching (PSM) was performed to compare the clinicopathological characteristics between
A comparative study of delta-shaped and conventional BillrothI anastomosis after laparoscopic distal gastrectomy for gastric cancer. Delta-shaped anastomosis (DA) is a newly developed intracorporeal gastroduodenostomy. This meta-analysis is performed to compare the safety, feasibility and clinical outcomes of DA with conventional extracorporeal BillrothI anastomosis (B-I) after laparoscopic