Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2025; 17(6): 106009
Published online Jun 27, 2025. doi: 10.4240/wjgs.v17.i6.106009
Application of modified Roux-en-Y digestive tract reconstruction in total gastrectomy for patients with gastric cancer
Jing Yu, Min Li, Xiang-Zhi Qin, Lei Gong, Long Qin, Zhen-Bing Lv, Wei Guo, Bin Huang, Yun-Hong Tian
Jing Yu, Min Li, Xiang-Zhi Qin, Lei Gong, Long Qin, Zhen-Bing Lv, Wei Guo, Bin Huang, Yun-Hong Tian, Department of Gastrointestinal Surgery, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China
Jing Yu, Min Li, Xiang-Zhi Qin, Lei Gong, Long Qin, Zhen-Bing Lv, Wei Guo, Bin Huang, Yun-Hong Tian, Department of Gastrointestinal Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University and Nanchong Central Hospital, Nanchong 637000, Sichuan Province, China
Co-first authors: Jing Yu and Min Li.
Co-corresponding authors: Zhen-Bing Lv and Yun-Hong Tian.
Author contributions: Yu J wrote the article and conducted the statistical analyses; Li M collected the clinical data and abstracted the data; Yu J and Li M contributed equally to this article and are the co-first authors of this manuscript; Qin XZ, Gong L, Qin L, Guo W, and Huang B participated in modification and data analysis; Tian YH and Lv ZB designed the research protocols for the present study, provided guidance for writing and revising the article, they contributed equally to this article, they are the co-corresponding authors of this manuscript; All authors have read and approved the final manuscript.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Nanchong Central Hospital Affiliated to North Sichuan Medical College ( Approval No. 2022005).
Informed consent statement: Due to the retrospective study design, informed consent was waived by Nanchong Central Hospital Affiliated with North Sichuan Medical College Ethics Committee.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
Data sharing statement: All relevant data are included in the paper, and no additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yun-Hong Tian, Department of Gastrointestinal Surgery, The Affiliated Nanchong Central Hospital of North Sichuan Medical College, No. 97 Renmin South Road, Shunqing District, Nanchong 637000, Sichuan Province, China. drtianyunhong@126.com
Received: February 21, 2025
Revised: April 1, 2025
Accepted: April 25, 2025
Published online: June 27, 2025
Processing time: 98 Days and 20.5 Hours
Core Tip

Core Tip: This study compared modified vs traditional Roux-en-Y reconstruction in 97 patients with gastric cancer undergoing laparoscopy-assisted total gastrectomy. The modified method (n = 43) demonstrated shorter operation (160.9 vs 211.7 minutes) and reconstruction times (21.46 vs 52.25 minutes), reduced intraoperative bleeding, and fewer complications (e.g., reflux esophagitis: 0% vs 11.1%). Postoperative recovery and nutritional outcomes (weight loss, hemoglobin levels) were superior in the modified group. Findings suggest that the modified technique improves safety, efficiency, and patient prognosis, aligning with rapid rehabilitation principles. Clinical adoption is recommended.