Evaluation of the efficacy and safety of the augmented rectangle technique for Billroth-I reconstruction in laparoscopic distal gastrectomy for gastric cancer: comparison with Roux-en-Y reconstruction.

ABSTRACT:

Background

Laparoscopic distal gastrectomy confers a large rectangular anastomotic stoma, which can be repaired with an augmented rectangle technique anastomosis in an intracorporeal Billroth-I reconstruction. We aimed to evaluate the safety and feasibility of the augmented rectangle technique (ART) for anastomosis.

Methods

We retrospectively compared the surgical outcomes and postoperative nutritional statuses of patients who received Billroth-I (n = 285; ART group) or Roux-en-Y (n = 72; R-Y group) reconstruction between January 2013 and December 2023 following laparoscopic distal gastrectomy for gastric cancer at our hospital. Furthermore, postoperative changes in nutritional status of patients who did or did not receive postoperative chemotherapy were compared for at leas

SUBMITTER: Mikami S 

PROVIDER: S-EPMC12823624 | biostudies-literature | 2026 Jan

REPOSITORIES: biostudies-literature