Comparison among three reconstruction techniques after distal radical gastrectomy.
- Author:
Qian WANG
1
;
Zhi-qiang YAN
;
Hai-bin WANG
;
Hai-tao XIE
;
Yang YU
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Anastomosis, Roux-en-Y; Female; Gastrectomy; Humans; Male; Middle Aged; Reconstructive Surgical Procedures; methods; Retrospective Studies; Stomach Neoplasms; surgery; Treatment Outcome; Young Adult
- From: Chinese Journal of Gastrointestinal Surgery 2012;15(8):845-847
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare surgical efficacy after three different reconstruction techniques after radical resection of distal gastric cancer.
METHODSClinical data of 169 cases of distal gastric cancer operated in our hospital from 2007 to 2010 were retrospectively analyzed. The reconstruction techniques included Billroth I (anastomosis (n=60), Billroth II (anastomosis (n=41), and Roux-en-Y anastomosis (n=68). Efficacy among 3 groups was compared. Specific symptoms scale was used to evaluate the quality of life in three methods after three months.
RESULTSCompared to Billroth I(anastomosis and Billroth II (anastomosis, Roux-en-Y anastomosis had longer operative time [(266.3±70.4) min vs. (196.2±54.3) min, and (228.5±67.7) min], more blood loss [(220.9±67.6) ml vs. (170.5±61.5) ml and (188.5±76.7) ml], and shorter time to gastric tube removal [(2.6±1.5) d vs. (3.1±1.3) d and (3.6±1.2) d], milder postoperative reflux and heartburn sensation(specific symptoms scale, 1.8±0.4 vs. 1.9±0.6 and 2.6±0.4, P<0.05).
CONCLUSIONSAlthough Roux-en-Y anastomosis is not consistent with physiological route and the procedure is more complex to perform, it can effectively prevent reflux complications. Roux-en-Y anastomosis is a better reconstruction technique after radical resection of distal gastric cancer.
