Pancreatoduodenectomy with uncut-Roux-en-Y reconstruction in patients with previous radical gastrectomy

Hye Jin Kim; Hyun Soo Shin; Su Hyeong Park; Hye Yeon Yang; Chang Moo Kang

doi:10.14701/ahbps.22-137

Ann Hepatobiliary Pancreat Surg

Published online April 3, 2023; https://doi.org/10.14701/ahbps.22-137

Hye Jin Kim^1,2,*, Hyun Soo Shin^1,2,*, Su Hyeong Park^1,2, Hye Yeon Yang^1,2, Chang Moo Kang^1,2

¹Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea,
²Pancreaticobiliary Cancer Clinic, Yonsei Cancer Center, Severance Hospital, Seoul, Korea

Correspondence to: Chang Moo Kang, MD, PhD
Division of Hepatobiliary and Pancreatic Surgery, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
Tel: +82-2-2228-2100, Fax: +82-2-313-8289, E-mail: cmkang@yuhs.ac
ORCID: https://orcid.org/0000-0002-5382-4658

*These authors contributed equally to this study.

Received December 30, 2022; Revised January 19, 2023; Accepted January 25, 2023.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract: Gastric cancer is very common. Many patients have undergone radical gastric cancer surgery in Korea. Recently, the number of cases with secondary cancer occurring in other organs such as periampullary cancers is increasing as survival rate of gastric cancer patients increases. There are some clinical issues in managing patients with periampullary cancer who have undergone radical gastrectomy previously. Considering that pancreatoduodectomy (PD) has two phases (i.e., resection and reconstruction), it can be very complicated and controversial to perform safe and effective reconstruction following PD in patients with a previous radical gastrectomy. In this report, we present our experiences of uncut-Roux-en-Y fashioned reconstruction in PD for patients with a previous radical gastrectomy and discuss its technical characteristics and potential advantages.; Keywords : Pancreatoduodenectomy; Radical gastrectomy; Periampullary cancer; Uncut Roux-en-Y