The usage of Overlap method in Billroth I reconstruction of totally laparoscopic distal gastrectomy:A report of 1 case
Abstract：Objective To introduce the usage of Overlap method in Billroth I reconstruction of totally laparoscopic distal gastrectomy. Methods This study retrospectively analyzed 1 case of overlap BillrothⅠreconstruction for totally laparoscopic distal gastrectomy in Peking University Cancer Hospital and described the technique details of the method. Results In overlap BillrothⅠreconstruction, the duodenum bulb is transected in the caudal-to-cranial direction and then the cranial part of the transection line is opened. After transection of the stomach, the point of greater curvature 60mm from the transection line is opened. Then a 60mm linear stapler is used for the side-to-side anastomosis of gastric greater curvature and upper-lateral wall of duodenum. Finally, the conjuncture incision is closed with another linear stapler. Conclusion The overlap BillrothⅠreconstruction method for totally laparoscopic distal gastrectomy is simple to operate and the digestive tract is not twisted which may contribute to faster recovery of bowel function.
Keywords：gastric cancertotally laparoscopic surgerydistal gastrectomyreconstruction
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 93-95 )