Intracorporeal Uncut Roux-en-Y Gastrojejunostomy Reconstruction in Pure Single- Incision Laparoscopic Distal Gastrectomy for Early Gastric Cancer: Unaided.

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Intracorporeal Uncut Roux-en-Y Gastrojejunostomy Reconstruction in Pure Single- Incision Laparoscopic Distal Gastrectomy for Early Gastric Cancer: Unaided Stapling Closure Sang-Hoon Ahn, MD, Sang-Yong Son, MD, Chang-Min Lee, MD, Do Hyun Jung, MD, Do Joong Park, MD, PhD, Hyung-Ho Kim, MD, PhD Journal of the American College of Surgeons Volume 218, Issue 1, Pages e17-e21 (January 2014) DOI: 10.1016/j.jamcollsurg.2013.09.009 Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 1 Formation of opening at the end of the stapling line on the greater curvature side of the stomach. (A) Stomach cutting by a harmonic scalpel. (B) A “dog ear” of the stomach for traction. Journal of the American College of Surgeons 2014 218, e17-e21DOI: (10.1016/j.jamcollsurg.2013.09.009) Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 2 Insertion of a laparoscopic stapler into the jejunum. (A) Opening of the jejunum made by hook in the cutting mode. (B) Placement of the end of anvil into the jejunum opening. (C) Insertion of a stapler by pulling the jejunum. Journal of the American College of Surgeons 2014 218, e17-e21DOI: (10.1016/j.jamcollsurg.2013.09.009) Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 3 Intracorporeal uncut Roux-en-Y gastrojejunostomy in single-incision laparoscopic distal gastrectomy. (A) Insertion of stapler side by pulling a “dog ear” of the stomach. (B) Antiperistaltic gastrojejunostomy by a linear stapler. Journal of the American College of Surgeons 2014 218, e17-e21DOI: (10.1016/j.jamcollsurg.2013.09.009) Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 4 (A) Common entry hole closure by a linear stapler after 2 stay sutures. (B) Gastrojejunostomy formation after common entry hole closure. Journal of the American College of Surgeons 2014 218, e17-e21DOI: (10.1016/j.jamcollsurg.2013.09.009) Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 5 Uncut Roux-en-Y gastrojejunostomy. Journal of the American College of Surgeons 2014 218, e17-e21DOI: (10.1016/j.jamcollsurg.2013.09.009) Copyright © 2014 American College of Surgeons Terms and Conditions

Figure 6 Trend and distribution of reconstruction time. Journal of the American College of Surgeons 2014 218, e17-e21DOI: (10.1016/j.jamcollsurg.2013.09.009) Copyright © 2014 American College of Surgeons Terms and Conditions