Open AccessY-en-Roux reconstruction in abdominal surgery: historical retrospective of operative method’s evolution. Part I
Author(s) -
М. А. Евсеев,
В. С. Фомин,
И. М. Клишин,
A. V. Evseev
Publication year - 2021
Publication title -
kliničeskaâ medicina
Language(s) - English
Resource type - Journals
eISSN - 2412-1339
pISSN - 0023-2149
DOI - 10.30629/0023-2149-2021-99-2-153-160
Subject(s) - medicine , gastroenterostomy , anastomosis , gastrectomy , roux en y anastomosis , general surgery , surgery , abdominal surgery , gastric bypass , cancer , weight loss , obesity
Target of this historical review is focused on analysis of highly relevant, unique method proposed by A. Wölfler, E. Doyen and C. Roux more than 140 years ago, also we try to present main facts and chronology of development of concept Y-reconstruction of digestive tube. Hereby we present historical retrospective of theoretic concept creation, experimental verification and initial clinical experience of Y-shaped reconstruction of digestive tube on Roux-en-Y-loop, stages of concept evolution and development till the end of XIX age till our days. The founders’ scientific research onducted in surgical gastroenterology, oncology, pancreatology and hepatobiliary surgery, has expanded application of Roux-en-Y-reconstruction from distal resection of the stomach and gastroenterostomy to gastrectomy, repeated operations on the upper part of the digestive tube, the formation of biliary-digestive and pancreatic anastomoses, as well as the use in the routine practice of bariatric surgery.