{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T18:24:11Z","timestamp":1760898251032},"reference-count":20,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,10,28]],"date-time":"2013-10-28T00:00:00Z","timestamp":1382918400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Herein we report our retrocolic <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>oux\u2010en\u2010<jats:styled-content style=\"fixed-case\">Y<\/jats:styled-content> anastomosis for laparoscopic distal gastrectomy and its feasibility.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Surgical Technique<\/jats:title><jats:p>After laparoscopic distal gastrectomy with lymphadenectomy, the gastric remnant was fixed through the mesentery of the transverse colon. The gastrojejunostomy was performed with linear stapling devices at an angle that allowed for easy application. The jejunojejunostomy was also performed with linear stapling devices. All spaces between the mesentery were hand\u2010sewn closed. This procedure was performed laparoscopically without additional incisions in all 34 patients. The median operative time was 365\u2009min and the median blood loss was 50\u2009m<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>. All patients started liquid intake the day after gastrectomy. There were three cases of Grade 1 complications and one Grade 2 complication per the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>lavien\u2010<jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>indo <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>lassification. Patients\u2019 weights after surgery were stable at the 36\u2010month follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The advantages of <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>oux\u2010en\u2010<jats:styled-content style=\"fixed-case\">Y<\/jats:styled-content> reconstruction have been reported to include less frequent anastomotic leakage, less gastritis and less bile reflux over the long term. The retrocolic reconstructions were performed in a manner similar to open surgery but under a laparoscopic view. The mesentery closure stitches to prevent internal herniation did not require as many stitches as the antecolic route and were easier to place. Our anastomosis for laparoscopic distal gastrectomy showed acceptable short\u2010term results, with patients maintaining up to 91.0% of their preoperative weight and nutritional input. By fixing the remnant stomach to the mesentery of the transverse colon before the anastomosis, we easily completed the retrocolic <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>oux\u2010en\u2010<jats:styled-content style=\"fixed-case\">Y<\/jats:styled-content> anastomosis under laparoscopic view.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12054","type":"journal-article","created":{"date-parts":[[2013,10,28]],"date-time":"2013-10-28T09:29:07Z","timestamp":1382952547000},"page":"333-337","source":"Crossref","is-referenced-by-count":1,"title":["Retrocolic <scp>R<\/scp>oux\u2010en\u2010<scp>Y<\/scp> anastomosis for total laparoscopic distal gastrectomy: Fix\u2010the\u2010remnant\u2010first technique"],"prefix":"10.1111","volume":"6","author":[{"given":"Atsushi","family":"Iida","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery University of Fukui  Fukui 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