Comparison of the efficacy of Billroth Ⅱ+ Braun anastomosis and simple Billroth Ⅱ anastomosis in digestive tract reconstruction after laparoscopic distal gastric cancer radical resection
10.3760/cma.j.cn431274-20230901-00200
- VernacularTitle:腹腔镜远端胃癌根治术消化道重建中Billroth Ⅱ+Braun吻合与单纯Billroth Ⅱ吻合的疗效比较
- Author:
Huaishuai WANG
1
;
Zhicong CAI
;
Gaofeng LIN
;
Guoxi XU
;
Yixiang ZHUANG
;
Yinlin LI
;
Qiyi LIN
;
Zaiyuan YE
Author Information
1. 晋江市医院(上海市第六人民医院福建医院)胃肠/疝与腹壁外科，晋江 362214
- Keywords:
Stomach neoplasms;
Gastrectomy;
Digestive tract reconstruction;
Billroth Ⅱ anastomosis;
Braun anastomosis
- From:
Journal of Chinese Physician
2023;25(10):1464-1467
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical efficacy and quality of life of patients between Billroth Ⅱ+ Braun anastomosis and simple Billroth Ⅱ anastomosis in digestive tract reconstruction after laparoscopic distal gastric cancer radical resection.Methods:A retrospective analysis was performed on clinical data of 68 patients who underwent laparoscopic distal gastric cancer radical resection in Jinjiang Municipal Hospital from January 2019 to January 2022. Forty patients who underwent Billroth Ⅱ+ Braun anastomosis were included in the observation group, and 28 patients who underwent simple Billroth Ⅱ anastomosis were included in the control group. Perioperative indicators and postoperative indicators one year after surgery were collected to observe the safety and efficacy of patients after surgery.Results:There were no significant differences in operation time, intraoperative bleeding volume, postoperative exhaust time, time to remove gastric tube and drainage tube, and postoperative hospital stay between the two groups (all P>0.05). There were also no significant differences in postoperative complications between the two groups ( P>0.05). One year after surgery, the incidence of food retention and residual gastritis in the observation group were lower than those in the control group (all P<0.05), while there were no significant differences in the incidence of bile reflux and reflux esophagitis between the two groups (all P>0.05). One year after surgery, nutritional evaluation showed that the total protein decline and prognostic nutritional index (PNI) in the observation group were lower than those in the control group, with significant differences (all P<0.05). The incidence of bloating and reflux symptoms in the observation group one year after surgery was lower than that in the control group, with significant differences (all P<0.05). Conclusions:Billroth Ⅱ+ Braun anastomosis is a safe method for digestive tract reconstruction after laparoscopic distal gastric cancer resection, which can improve patients′ quality of life after surgery.
