کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5731448 1611742 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Original articleInternal hernia after laparoscopic gastrectomy with Roux-en-Y reconstruction for gastric cancer
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Original articleInternal hernia after laparoscopic gastrectomy with Roux-en-Y reconstruction for gastric cancer
چکیده انگلیسی

SummaryBackground/objectiveLaparoscopic gastrectomy (LG) is increasingly used to treat gastric cancer. Simultaneously, internal hernia (IH) has been reported after LG with Roux-en-Y reconstruction (RY). The aim of this study was to investigate IH after LG with RY for gastric cancer.MethodsThis study included 15 patients with IH from a database of 355 consecutive patients who underwent LG with RY for gastric cancers. We retrospectively analyzed IH incidence and clinical characteristics by operative procedures.ResultsThe total incidence of IH was 4.2%. The incidence of IH at Petersen's defect tended to decrease with modifications to the reconstruction methods, but not significantly so. The incidence of IH at jejunojejunostomy mesenteric defect significantly decreased with closure of this defect (p = 0.01). The incidence of IH at transverse mesocolic defect was 1.3% in patients who underwent retrocolic RY; emergent small-bowel resection was only required in two cases of herniation through this defect after laparoscopic total gastrectomy.ConclusionRetrocolic RY with appropriate closure of defects can reduce IH incidence at Petersen's defect and at jejunojejunostomy mesenteric defect. Although the IH incidence at the transverse mesocolic defect is not particularly high, the possibility of herniation through this defect should be kept in mind.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Asian Journal of Surgery - Volume 40, Issue 3, May 2017, Pages 203-209
نویسندگان
, , , , , , , ,