{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T04:52:42Z","timestamp":1767156762617,"version":"build-2065373602"},"reference-count":28,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T00:00:00Z","timestamp":1668211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Robotic surgery is increasingly gaining importance. While initial results suggest an advantage of the robotic over the minimally invasive approach in patients with gastric cancer, definitive proof of its superiority has yet to be provided. There are numerous approaches to recreate a gastric reservoir after a total gastrectomy. However, a major disadvantage of most conventional reconstructions are long term effects such as dumping syndrome, afferent loop syndrome and poor nutrition intake with severe impact on the patient quality of life. The jejunal pouch reconstruction is a beneficial reconstruction, which provides a larger reservoir capacity after gastrectomy and prevents anastomotic stenosis and dumping syndrome. The completely intercorporeal approach with a Pfannenstiel incision instead of an unfavorable midline incision can potentially decrease delayed complications such as incision hernias. With the increased deployment of robotic surgery, a complete intercorporeal reconstruction is now possible without major increase in operating time or further technical weak points. We provide for the first time a detailed technical explanation of the completely intercorporeal robotic jejunal pouch reconstruction after gastrectomy.<\/jats:p>","DOI":"10.3390\/curroncol29110678","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T04:30:52Z","timestamp":1668400252000},"page":"8600-8608","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A Robotic Completely Intercorporeal Jejunal Pouch Reconstruction after Gastrectomy"],"prefix":"10.3390","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0804-7837","authenticated-orcid":false,"given":"Ani","family":"Stoyanova","sequence":"first","affiliation":[{"name":"Klink f\u00fcr Allgemein-und Viszeralchirurgie, Campus Benjamin Franklin, Charit\u00e9\u2014Universit\u00e4tsmedizin, Hindenburgdamm Berlin 30, 12200 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3919-5175","authenticated-orcid":false,"given":"Ann-Kathrin","family":"Berg","sequence":"additional","affiliation":[{"name":"Klink f\u00fcr Allgemein-und Viszeralchirurgie, Campus Benjamin Franklin, Charit\u00e9\u2014Universit\u00e4tsmedizin, Hindenburgdamm Berlin 30, 12200 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7578-280X","authenticated-orcid":false,"given":"Katharina","family":"Beyer","sequence":"additional","affiliation":[{"name":"Klink f\u00fcr Allgemein-und Viszeralchirurgie, Campus Benjamin Franklin, Charit\u00e9\u2014Universit\u00e4tsmedizin, Hindenburgdamm Berlin 30, 12200 Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.3322\/caac.21660","article-title":"Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"Sung","year":"2021","journal-title":"CA Cancer J. Clin."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/s12957-019-1600-1","article-title":"Laparoscopic versus Open Gastrectomy for Locally Advanced Gastric Cancer: A Systematic Review and Meta-Analysis of Randomized Controlled Studies","volume":"17","author":"Beyer","year":"2019","journal-title":"World J. Surg. Oncol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1200\/JCO.2015.63.7215","article-title":"Morbidity and Mortality of Laparoscopic versus Open D2 Distal Gastrectomy for Advanced Gastric Cancer: A Randomized Controlled Trial","volume":"34","author":"Hu","year":"2016","journal-title":"J. Clin. Oncol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"638","DOI":"10.1097\/SLA.0000000000002168","article-title":"Laparoscopy-Assisted versus Open D2 Distal Gastrectomy for Advanced Gastric Cancer: Results From a Randomized Phase II Multicenter Clinical Trial (COACT 1001)","volume":"267","author":"Park","year":"2018","journal-title":"Ann. Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2427","DOI":"10.1007\/s00464-017-5942-x","article-title":"Short-Term Surgical Outcomes of a Randomized Controlled Trial Comparing Laparoscopic versus Open Gastrectomy with D2 Lymph Node Dissection for Advanced Gastric Cancer","volume":"32","author":"Shi","year":"2018","journal-title":"Surg. Endosc."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s00464-018-6391-x","article-title":"Short-Term Surgical Outcomes of Laparoscopy-Assisted versus Open D2 Distal Gastrectomy for Locally Advanced Gastric Cancer in North China: A Multicenter Randomized Controlled Trial","volume":"33","author":"Wang","year":"2019","journal-title":"Surg. Endosc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1097\/SLA.0000000000004466","article-title":"Assessment of Robotic versus Laparoscopic Distal Gastrectomy for Gastric Cancer: A Randomized Controlled Trial","volume":"273","author":"Lu","year":"2021","journal-title":"Ann. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1944","DOI":"10.1016\/j.ejso.2016.07.012","article-title":"Who May Benefit from Robotic Gastrectomy?: A Subgroup Analysis of Multicenter Prospective Comparative Study Data on Robotic versus Laparoscopic Gastrectomy","volume":"42","author":"Park","year":"2016","journal-title":"Eur. J. Surg. Oncol. EJSO"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"6502","DOI":"10.1038\/s41598-020-63616-1","article-title":"Robotic- versus Laparoscopic-Assisted Distal Gastrectomy with D2 Lymphadenectomy for Advanced Gastric Cancer Based on Propensity Score Matching: Short-Term Outcomes at a High-Capacity Center","volume":"10","author":"Ye","year":"2020","journal-title":"Sci. Rep."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1097\/SLA.0000000000001249","article-title":"Multicenter Prospective Comparative Study of Robotic versus Laparoscopic Gastrectomy for Gastric Adenocarcinoma","volume":"263","author":"Kim","year":"2016","journal-title":"Ann. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"3572","DOI":"10.1007\/s00464-020-07820-0","article-title":"Morbidity and Short-Term Surgical Outcomes of Robotic versus Laparoscopic Distal Gastrectomy for Gastric Cancer: A Large Cohort Study","volume":"35","author":"Feng","year":"2021","journal-title":"Surg. Endosc."},{"key":"ref_12","first-page":"350","article-title":"Comparison of short-term efficacy between robotic and 3D laparoscopic-assisted D2 radical distal gastrectomy for gastric cancer","volume":"23","author":"Cui","year":"2020","journal-title":"Zhonghua Wei Chang Wai Ke Za Zhi"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Yang, C., Shi, Y., Xie, S., Chen, J., Zhao, Y., Qian, F., Hao, Y., Tang, B., and Yu, P. (2020). Short-Term Outcomes of Robotic- versus Laparoscopic-Assisted Total Gastrectomy for Advanced Gastric Cancer: A Propensity Score Matching Study. BMC Cancer, 20.","DOI":"10.1186\/s12885-020-07160-1"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1245\/s10434-016-5540-5","article-title":"Creation of a Jejunal Pouch During Laparoscopic Total Gastrectomy and Roux-En-Y Esophagojejunostomy","volume":"24","author":"Ward","year":"2017","journal-title":"Ann. Surg. Oncol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/S1674-8301(11)60011-0","article-title":"Pouch Roux-En-Y vs. No Pouch Roux-En-Y Following Total Gastrectomy: A Meta-Analysis Based on 12 Studies","volume":"25","author":"Zong","year":"2011","journal-title":"J. Biomed. Res."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1041","DOI":"10.1097\/SLA.0000000000003082","article-title":"Pouch versus No Pouch Following Total Gastrectomy: Meta-Analysis of Randomized and Non-Randomized Studies","volume":"269","author":"Syn","year":"2019","journal-title":"Ann. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1002\/bjs.4512","article-title":"Techniques of Reconstruction after Total Gastrectomy for Cancer","volume":"91","author":"Lehnert","year":"2004","journal-title":"Br. J. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1097\/SLA.0b013e318167748c","article-title":"Long-Term Benefits of Roux-En-Y Pouch Reconstruction After Total Gastrectomy: A Randomized Trial","volume":"247","author":"Fein","year":"2008","journal-title":"Ann. Surg."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1908","DOI":"10.1007\/s11605-016-3235-7","article-title":"A Step-Wise Approach to Total Laparoscopic Gastrectomy with Jejunal Pouch Reconstruction: How and Why We Do It","volume":"20","author":"Brenkman","year":"2016","journal-title":"J. Gastrointest. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1007\/s00464-010-1309-2","article-title":"Incisional Hernia, Midline versus Low Transverse Incision: What Is the Ideal Incision for Specimen Extraction and Hand-Assisted Laparoscopy?","volume":"25","author":"deSouza","year":"2011","journal-title":"Surg. Endosc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1097\/DCR.0000000000001612","article-title":"Intracorporeal Anastomoses in Minimally Invasive Right Colectomies Are Associated with Fewer Incisional Hernias and Shorter Length of Stay","volume":"63","author":"Widmar","year":"2020","journal-title":"Dis. Colon Rectum"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1007\/s00268-003-7030-8","article-title":"Ideal Reconstruction after Total Gastrectomy by the Interposition of a Jejunal Pouch Considered by Emptying Time","volume":"27","author":"Tono","year":"2003","journal-title":"World J. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1777","DOI":"10.1007\/s11605-011-1641-4","article-title":"Optimal Size of Jejunal Pouch as a Reservoir after Total Gastrectomy: A Single-Center Prospective Randomized Study","volume":"15","author":"Tsujimoto","year":"2011","journal-title":"J. Gastrointest. Surg."},{"key":"ref_24","first-page":"891","article-title":"Jejunal Pouch Length Influences Metabolism after Total Gastrectomy","volume":"44","author":"Tanaka","year":"1997","journal-title":"Hepatogastroenterology"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1002\/jso.20928","article-title":"Clinical Results of Various Reconstructions Employed after Total Gastrectomy","volume":"97","author":"Lawrence","year":"2008","journal-title":"J. Surg. Oncol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1007\/s10120-018-0879-x","article-title":"The Cholegas Trial: Long-Term Results of Prophylactic Cholecystectomy during Gastrectomy for Cancer\u2014A Randomized-Controlled Trial","volume":"22","author":"Bencini","year":"2019","journal-title":"Gastric Cancer"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/00000658-199704000-00004","article-title":"The Low Transverse Pfannenstiel Incision and the Prevalence of Incisional Hernia and Nerve Entrapment","volume":"225","author":"Luijendijk","year":"1997","journal-title":"Ann. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1097\/SLA.0000000000002845","article-title":"Robotic Surgery Is Less Physically Demanding Than Laparoscopic Surgery: Paired Cross Sectional Study","volume":"271","author":"Dalsgaard","year":"2020","journal-title":"Ann. Surg."}],"container-title":["Current Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1718-7729\/29\/11\/678\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:17:06Z","timestamp":1760145426000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1718-7729\/29\/11\/678"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,12]]},"references-count":28,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["curroncol29110678"],"URL":"https:\/\/doi.org\/10.3390\/curroncol29110678","relation":{},"ISSN":["1718-7729"],"issn-type":[{"type":"electronic","value":"1718-7729"}],"subject":[],"published":{"date-parts":[[2022,11,12]]}}}