{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T04:20:38Z","timestamp":1790396438693,"version":"4.1.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T00:00:00Z","timestamp":1592438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ann Surg Oncol"],"published-print":{"date-parts":[[2021,1]]},"DOI":"10.1245\/s10434-020-08710-4","type":"journal-article","created":{"date-parts":[[2020,6,18]],"date-time":"2020-06-18T15:04:07Z","timestamp":1592492647000},"page":"90-96","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Total Laparoscopic Uncut Roux-en-Y for Radical Distal Gastrectomy: An Interim Analysis of a Randomized, Controlled, Clinical Trial"],"prefix":"10.1245","volume":"28","author":[{"given":"Juan","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junqiang","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelu","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheqing","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuya","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7500-7192","authenticated-orcid":false,"given":"Gang","family":"Ji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,6,18]]},"reference":[{"key":"8710_CR1","doi-asserted-by":"publisher","first-page":"e273","DOI":"10.1016\/j.jviscsurg.2010.09.004","volume":"147","author":"G Piessen","year":"2010","unstructured":"Piessen G, Triboulet JP, Mariette C. Reconstruction after gastrectomy: which technique is best? J Visc Surg. 2010;147:e273-83.","journal-title":"J Visc Surg."},{"key":"8710_CR2","doi-asserted-by":"publisher","first-page":"1124","DOI":"10.3748\/wjg.v19.i7.1124","volume":"19","author":"JJ Xiong","year":"2013","unstructured":"Xiong JJ, Altaf K, Javed MA, Nunes QM, Huang W, Mai G, Tan CL, Mukherjee R, Sutton R, Hu WM, Liu XB. Roux-en-Y versus Billroth I reconstruction after distal gastrectomy for gastric cancer: a meta-analysis. World J Gastroenterol. 2013;19:1124-34.","journal-title":"World J Gastroenterol."},{"key":"8710_CR3","doi-asserted-by":"crossref","unstructured":"Zong L, Chen P. Billroth I vs. Billroth II vs. Roux-en-Y following distal gastrectomy: a meta-analysis based on 15 studies. Hepatogastroenterology. 2011;58:1413-24.","DOI":"10.5754\/hge10567"},{"issue":"8","key":"8710_CR4","doi-asserted-by":"publisher","first-page":"647","DOI":"10.1007\/s00595-009-3964-2","volume":"39","author":"Y Hoya","year":"2009","unstructured":"Hoya Y, Mitsumori N, Yanaga K. The advantages and disadvantages of a Roux-en-Y reconstruction after a distal gastrectomy for gastric cancer. Surg Today. 2009;39(8):647-51.","journal-title":"Surg Today."},{"key":"8710_CR5","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1177\/000313489906500712","volume":"65","author":"S Zonca","year":"1999","unstructured":"Zonca S, Rizzo P. Alteration of the Roux Stasis syndrome by an isolated Roux limb: correlation of slow waves and clinical course. Am Surg. 1999;65:666-72.","journal-title":"Am Surg."},{"key":"8710_CR6","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1007\/s10120-005-0344-5","volume":"8","author":"I Uyama","year":"2005","unstructured":"Uyama I, Sakurai Y, Komori Y, Nakamura Y, Syoji M, Tonomura S, Yoshida I, Masui T, Inaba K, Ochiai M. Laparoscopy-assisted uncut Roux-en-Y operation after distal gastrectomy for gastric cancer. Gastric Cancer. 2005;8:253-7.","journal-title":"Gastric Cancer."},{"issue":"47","key":"8710_CR7","doi-asserted-by":"publisher","first-page":"7699","DOI":"10.3748\/wjg.v12.i47.7699","volume":"12","author":"YM Zhang","year":"2006","unstructured":"Zhang YM, Liu XL, Xue DB, et al. Myoelectric activity and motility of the Roux limb after cut or uncut Roux-en-Y gastrojejunostomy. World J Gastroenterol. 2006;12(47):7699-704.","journal-title":"World J Gastroenterol."},{"key":"8710_CR8","doi-asserted-by":"crossref","unstructured":"Ahn SH, Son SY, Lee CM, Jung DH, Park Doj, Kim HH. Intracorporeal uncut Roux-en-Y gastrojejunostomy reconstruction in pure singleincision laparoscopic distal gastrectomy for early gastric cancer: unaided stapling closure. J Am Coll Surg. 2014;218(1):e17\u2013e21.","DOI":"10.1016\/j.jamcollsurg.2013.09.009"},{"key":"8710_CR9","first-page":"237","volume":"24","author":"ZY Zou","year":"2016","unstructured":"Zou ZY, Xh D, Li R. Progress of application of Uncut Roux-en-Y gastrojejunostomy after distal gastrectomy for gastric cancer. J Clin Surg. 2016;24:237\u20139.","journal-title":"J Clin Surg."},{"issue":"4","key":"8710_CR10","doi-asserted-by":"publisher","first-page":"229","DOI":"10.5230\/jgc.2014.14.4.229","volume":"14","author":"JY Park","year":"2014","unstructured":"Park JY, Kim YJ. Uncut Roux-en-Y Reconstruction after laparoscopic distal gastrectomy can be a favorable method in terms of gastritis, bile reflux, and gastric residue. J Gastric Cancer. 2014;14(4):229\u201337.","journal-title":"J Gastric Cancer."},{"issue":"2","key":"8710_CR11","doi-asserted-by":"publisher","first-page":"E51","DOI":"10.1177\/000313481408000208","volume":"80","author":"SC Yun","year":"2014","unstructured":"Yun SC, Choi HJ, Park JY. Total laparoscopic uncut Roux-en-Y gastrojejunostomy after distal gastrectomy. Am Surg. 2014;80(2): E51-3.","journal-title":"Am Surg."},{"issue":"12","key":"8710_CR12","doi-asserted-by":"publisher","first-page":"1350","DOI":"10.1200\/JCO.2015.63.7215","volume":"34","author":"Y Hu","year":"2016","unstructured":"Hu Y, Huang C, Sun Y, et al. Morbidity and Mortality of Laparoscopic Versus Open D2 Distal Gastrectomy for Advanced Gastric Cancer: A Randomized Controlled Trial. J Clin Oncol. 2016;34(12):1350-7.","journal-title":"J Clin Oncol."},{"key":"8710_CR13","doi-asserted-by":"publisher","first-page":"1697","DOI":"10.2147\/CMAR.S170355","volume":"11","author":"Q Wang","year":"2019","unstructured":"Wang Q,\u00a0Ni Q,\u00a0Yang K, Ji S,\u00a0Fan Y,\u00a0Wang C,\u00a0Zhang W,\u00a0Yan S,\u00a0Ma Q,\u00a0Wei Q,\u00a0Zhang D, Yu J,\u00a0Ji G. Laparoscopic\u00a0uncut\u00a0Roux-en-Y\u00a0for\u00a0radical\u00a0distal\u00a0gastrectomy: the\u00a0study\u00a0protocol\u00a0for a multirandomized\u00a0controlled\u00a0trial. Cancer Manag Res.\u00a02019;11:1697-704.","journal-title":"Cancer Manag Res."},{"key":"8710_CR14","doi-asserted-by":"crossref","unstructured":"Cleeland CS, Sloan JA, Group AO, ASCPRO Organizing Group. Assessing the Symptoms of Cancer Using Patient-Reported Outcomes (ASCPRO): searching for standards. J Pain Symptom Manage. 2010;39(6):1077\u201385.","DOI":"10.1016\/j.jpainsymman.2009.05.025"},{"issue":"6","key":"8710_CR15","doi-asserted-by":"publisher","first-page":"1083","DOI":"10.1007\/s11605-016-3138-7","volume":"20","author":"C In Choi","year":"2016","unstructured":"In Choi C, Baek DH, Lee SH, et al. Comparison between Billroth-II with braun and roux-en-Y reconstruction after laparoscopic distal gastrectomy. J Gastrointest Surg. 2016;20(6):1083\u201390.","journal-title":"J Gastrointest Surg."},{"issue":"5","key":"8710_CR16","doi-asserted-by":"publisher","first-page":"448","DOI":"10.1097\/SLE.0b013e31829014ea","volume":"24","author":"JH Shim","year":"2014","unstructured":"Shim JH, Oh SI, Yoo HM et al. Roux-en-Y gastrojejunostomy after totally laparoscopic distal gastrectomy: comparison with Billorth II reconstruction. Surg Laparosc Endosc Percutan Tech. 2014;24(5):448\u201351.","journal-title":"Surg Laparosc Endosc Percutan Tech."},{"key":"8710_CR17","first-page":"69","volume":"166","author":"G van Stiegman","year":"1988","unstructured":"van Stiegman G, Goff JS. An alternative to Roux-en-Y for treatment of bile reflux gastritis. Surg Gynecol Obstet. 1988;166:69\u201370.","journal-title":"Surg Gynecol Obstet."},{"key":"8710_CR18","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1016\/S0002-9610(06)80017-6","volume":"160","author":"P Morrison","year":"1990","unstructured":"Morrison P, Miedema BW, Kohler L, Kelly KA. Electrical dysrhythmias in the Roux jejunal limb: cause and treatment. Am J Surg. 1990;160:252\u20136.","journal-title":"Am J Surg."},{"key":"8710_CR19","doi-asserted-by":"crossref","unstructured":"Miedema BW, Kelly KA. The Roux stasis syndrome. Treatment by pacing and prevention by use of an \u201cuncut\u201d Roux limb. Arch Surg. 1992;127:295\u2013300.","DOI":"10.1001\/archsurg.1992.01420030057011"},{"key":"8710_CR20","first-page":"1797","volume":"60","author":"C Shibata","year":"2013","unstructured":"Shibata C, Kakyo M, Kinouchi M, Tanaka N, Miura K, Naitoh T, Ogawa H, Yazaki N, Haneda S, Watanabe K, Sasaki I. Results of modified uncut Roux-en-Y reconstruction after distal gastrectomy for gastric cancer. Hepatogastroenterology. 2013;60:1797-9.","journal-title":"Hepatogastroenterology."},{"key":"8710_CR21","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/S0002-9610(00)00421-9","volume":"180","author":"SM Noh","year":"2000","unstructured":"Noh SM. Improvement of the Roux limb function using a new type of \u201cuncut Roux\u201d limb. Am J Surg. 2000;180:37-40.","journal-title":"Am J Surg."},{"key":"8710_CR22","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1097\/01.sla.0000130850.31178.8c","volume":"240","author":"K Nishijima","year":"2004","unstructured":"Nishijima K, Miwa K, Miyashita T, et al. Impact of the biliary diversion procedure on carcinogenesis in Barrett\u2019s esophagus surgically induced by duodenoesophageal reflux in rats. Ann Surg. 2004;240:57\u201367.","journal-title":"Ann Surg."},{"key":"8710_CR23","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1016\/S0002-9610(88)80120-X","volume":"155","author":"S Gustavsson","year":"1988","unstructured":"Gustavsson S, Ilstrup DM, Morrison P, Kelly KA. Roux-en-Y stasis syndrome after gastrectomy. Am J Surg. 1988;155:490\u20134.","journal-title":"Am J Surg."},{"key":"8710_CR24","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/S0016-5085(85)80140-2","volume":"88","author":"JR Mathias","year":"1985","unstructured":"Mathias JR, Fernandez A, Sninsky CA, Clench MH, Davis RH. Nausea, vomiting and abdominal pain after Roux-en-Y anastomosis: motility of the jejunal limb. Gastroenterology. 1985;88:101\u20137.","journal-title":"Gastroenterology."},{"key":"8710_CR25","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1016\/S0002-9610(06)80017-6","volume":"160","author":"P Morrison","year":"1999","unstructured":"Morrison P, Miedema BW, Kohler L, Kelly KA. Electrical dysrhythmias in the Roux jejunal limb: cause and treatment. Am J Surg. 1999;160:252-6.","journal-title":"Am J Surg."},{"key":"8710_CR26","doi-asserted-by":"publisher","first-page":"6350","DOI":"10.3748\/wjg.v23.i34.6350","volume":"23","author":"D Yang","year":"2017","unstructured":"Yang D, He L, Tong WH, Jia ZF, Su TR, Wang Q. Randomized controlled trial of uncut Roux-en-Y vs Billroth II reconstruction after distal gastrectomy for gastric cancer: Which technique is better for avoiding biliary reflux and gastritis? World J Gastroenterol. 2017;23:6350-6.","journal-title":"World J Gastroenterol."}],"container-title":["Annals of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-020-08710-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1245\/s10434-020-08710-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-020-08710-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T15:29:08Z","timestamp":1696260548000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1245\/s10434-020-08710-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,18]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["8710"],"URL":"https:\/\/doi.org\/10.1245\/s10434-020-08710-4","relation":{},"ISSN":["1068-9265","1534-4681"],"issn-type":[{"value":"1068-9265","type":"print"},{"value":"1534-4681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,18]]},"assertion":[{"value":"10 December 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 June 2020","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare that they have no conflict of interest.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Disclosures"}}]}}