Comparison of the Early Postoperative Results after a Billroth I and a Billroth II Gastrectomy for Gastric Cancer.
10.5230/jkgca.2002.2.2.96
- Author:
Hee Seok JEONG
1
;
Kyung Jong KIM
;
Yun Jeong CHA
;
Sun Pil KIM
;
Gwon Cheon KIM
;
Jeong Hwan JANG
;
Young Don MIN
Author Information
1. Department of Surgery, Chosun University Medical College, Gwangju, Korea. ydmin@mail.chosun.ac.kr
- Publication Type:Original Article
- Keywords:
Gastric cancer;
Billroth I gastrectomy;
Billroth II gastrectomy
- MeSH:
Adenocarcinoma;
Anastomotic Leak;
Gastrectomy*;
Gastroenterostomy*;
Hemorrhage;
Hospital Records;
Humans;
Mortality;
Postoperative Complications;
Retrospective Studies;
Stomach;
Stomach Neoplasms*
- From:Journal of the Korean Gastric Cancer Association
2002;2(2):96-100
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The proper reconstructive technique after a partial gastrectomy for an adenocarcinoma of the stomach is often debated, but few data exist to clarify the issue. The aim of this study was to compare retrospectively the early postoperative results and complications after different anastomoses used during a partial gastrectomy for a gastric adenocarcinoma. MATENRIALS AND METHODS: We reviewed the hospital records of 218 patients who had undergone a subtotal gastrectomy for gastric cancer at Chosun University Hospital between January 1997 and July 2000. Of the 218 subtotal gastrectomies performed with curative intent, 127 reconstructions were Billroth I gastrectomies and 91 were Billroth II gastrectomies. The following data were analyzed: age, sex, tumor size, gastric resection margin, timing of removal of the nasogastric tube, first bowel movement, resumption of oral feeding, and postoperative complications. RESULTS: The timing of removal of the nasogastric tube was significantly earlier in the Billroth Igroup than in the Billroth II group (27.9+/-13.9 hours and 69.7+/-68 hours, respectively)(P<0.05). Resumption of oral feeding was possible on day 4.6+/-1.5 in the Billroth I group and on dsy 5.2+/-1.5 in the Billroth II group (P<0.05). There were no anastomotic leakage, postoperative bleeding, and postoperative mortality among the patients in either group. CONCLUSION: the Billroth Igastrectomy should be considered for patients undergoing a partial gastric resection for gastric cancer due to its physiological benefits and acceptable rate of complication.
