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Pancreatoduodenectomy with uncut-Roux-en-Y reconstruction in patients with previous radical gastrectomy
Ann Hepatobiliary Pancreat Surg
Published online April 3, 2023;
Copyright © 2023 The Korean Association of Hepato-Biliary-Pancreatic Surgery.

Hye Jin Kim1,2,*, Hyun Soo Shin1,2,*, Su Hyeong Park1,2, Hye Yeon Yang1,2, Chang Moo Kang1,2

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:

*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 ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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


May 2023, 27 (2)
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