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Related Experiment Video

Updated: Jun 8, 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 gastrectomy: which technique is best?

G Piessen¹, J-P Triboulet, C Mariette

¹Service de chirurgie digestive et générale, hôpital Claude-Huriez, CHRU de Lille, place de Verdun, 59037 Lille cedex, France. g-piessen@chru-lille.fr

Journal of Visceral Surgery

|October 12, 2010

Summary

Roux-en-Y reconstruction offers superior outcomes after distal gastrectomy for benign conditions or superficial tumors. For total gastrectomy, Roux-en-Y with a pouch improves function and quality of life, especially for good-prognosis tumors.

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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

Published on: October 31, 2025

Area of Science:

Gastroenterology
Surgical Oncology
Digestive Surgery

Background:

Gastrectomy necessitates careful reconstruction to balance patient outcomes and surgical risks.
Choosing the optimal reconstruction technique is crucial for maintaining nutritional status and quality of life post-surgery.

Purpose of the Study:

To review and compare various reconstruction techniques following distal and total gastrectomy.
To provide guidance based on French guidelines for mechanical suture use in gastrectomy reconstructions.

Main Methods:

Systematic review of randomized controlled trials on gastrectomy reconstruction techniques.
Analysis of functional outcomes, endoscopic results, postoperative morbidity, and oncologic margins.

Main Results:

After distal gastrectomy, Roux-en-Y is favored over Billroth I/II for functional and endoscopic outcomes in benign or superficial tumor cases.
Billroth II is preferable to Billroth I due to lower morbidity and better oncologic margins.
For total gastrectomy, Roux-en-Y is a reliable option; adding a pouch reservoir enhances short-term function and nutritional intake.

Conclusions:

Roux-en-Y reconstruction is generally superior after distal gastrectomy for specific indications.
Pouch reservoir addition to Roux-en-Y reconstruction post-total gastrectomy improves functional outcomes and quality of life, particularly for early-stage cancers.