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Updated: Jun 28, 2026

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

[Reconstruction after distal gastrectomy].

Hitoshi Katai¹, Souya Nunobe, Makoto Saka

¹Gastric Surgery Division, National Cancer Center Hospital, Tokyo, Japan.

Nihon Geka Gakkai Zasshi

|October 23, 2008

Summary

Choosing the best surgical reconstruction after distal gastrectomy involves weighing procedure complexity against patient outcomes. Roux-en-Y reconstruction offers superior functional and symptomatic results compared to Billroth I, making it a preferred option.

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

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Published on: October 31, 2025

Area of Science:

Gastroenterology
Surgical Oncology
Clinical Outcomes Research

Background:

Distal gastrectomy necessitates careful selection of reconstruction techniques to optimize post-operative outcomes.
Billroth I and Roux-en-Y are common methods, each with distinct anatomical and functional implications.

Purpose of the Study:

To compare the endoscopic features and gastrointestinal quality of life between Billroth I and Roux-en-Y reconstruction after distal gastrectomy.
To identify the optimal reconstruction method based on clinical evidence and patient well-being.

Main Methods:

Comparative analysis of endoscopic findings.
Assessment of gastrointestinal quality of life using validated questionnaires.
Review of clinical evidence supporting each reconstruction technique.

Main Results:

Billroth I offers simplicity and direct duodenal access.
Roux-en-Y, despite complexity, effectively prevents bile reflux and demonstrates superior functional and symptomatic outcomes.
Roux-en-Y is identified as a leading option for post-gastrectomy reconstruction.

Conclusions:

Roux-en-Y reconstruction is a highly recommended method following distal gastrectomy due to its functional and symptomatic advantages.
Clinical evidence supports Roux-en-Y as a superior choice over Billroth I for improving patient quality of life.