Results: The mean age in the R-Y group was 61.57, with the SD of 9.53, while in the DT group the mean age was 60.17 with a SD of 9.92.
The Rouxen-Y anastomosis (R-Y), first applied by Orr after TG,7 is still utilized as the preferred reconstruction in Japan, as well as in many Western countries, because it is simple toper form and decreases esophageal reflux.8 In 1965, Kajitani and Sato reported the use of double tract (DT) reconstruction.
The R-Y reconstruction is characterized (after resection) by an EJS of the distal esophagus to a jejunal limb (mostly the second jejunal loop), which has been excluded from the normal intestinal passage.
A total number of 51 patients were reconstructed with the R-Y method, while 59 of them reconstructed with the DT method.
We found a statistically significant difference in the presence of stage IIa gastric cancer between the two groups p=0.035 (p<0.05).The preoperative values of the BMI in the R-Y group was 25.24 with a SD of 1.65, while in the DT group it was 25.39 with a SD of 1.36.
Out of 110 patients included in this study, a fully filled questionnaire was obtained from 104 patients (50 of them were in the R-Y group, while 54 of them were in the DT group).
The DT reconstruction is as simple as the R-Y reconstruction, and it can be safely performed even after a total gastrectomy with extended lymphadenectomy.19
A total number of 110 patients were evaluated, with 51 patients being reconstructed with the R-Y method, while 59 patients were reconstructed with the DT method.
We found that there was a highly significant statistical difference between them (p<0.001).Comparing to the results published by Iwahashi et al.,18 we found that it took us 66.59 minutes less to perform the R-Y procedure, and 37.99 minutes less to perform the DT procedure, while Iwahashi et al.18 Found that there was no statistically significant difference between the time needed to do the R-Y and DT reconstruction.