Application of antiperistaltic uncut Roux-en-Y anastomosis in laparoscopic distal gastrectomy for gastric cancer
10.3760/cma.j.cn113855-20231128-00364
- VernacularTitle:逆蠕动非离断Roux-en-Y吻合在腹腔镜远端胃癌根治术中的应用
- Author:
Bin KE
1
;
Peng JIN
;
Hongmin LIU
;
Xuejun WANG
;
Ning LIU
;
Han LIANG
;
Rupeng ZHANG
Author Information
1. 天津医科大学肿瘤医院胃部肿瘤科 国家恶性肿瘤临床医学研究中心 天津市恶性肿瘤临床医学研究中心 天津市消化系统肿瘤重点实验室，天津 300060
- Keywords:
Stomach neoplasms;
Anastomosis, Roux-en-Y;
Peristalsis;
Gastrectomy;
Laparoscopy
- From:
Chinese Journal of General Surgery
2024;39(10):764-769
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical efficacy of antiperistaltic uncut Roux-en-Y anastomosis (Uncut RY) in laparoscopic distal gastrectomy (LDG) for gastric cancer (GC).Methods:The clinicpathological data of 309 patients who underwent LDG for GC between Jan 2020 to Dec 2021 in Tianjin Medical University Cancer Institute & Hospital were collected. Among them, 102 cases received antiperistaltic Uncut RY anastomosis, 96 cases did RY anastomosis, and 111 cases did B Ⅱ+Braun anastomosis. The general data and clinical efficacy were compared.Results:The operative time in Uncut RY group and B Ⅱ+Braun group was shorter than that in RY group ( F=3.356, P=0.036). The incidence of postoperative short-term complications was not statistically different among three groups ( P>0.05). Compared to Uncut RY group and RY group, the B Ⅱ+Braun group had a significantly higher incidences of reflux gastritis (19.8% vs. 6.9% vs.5.2%, F=13.889, P=0.001). The incidence of RY stasis syndrome in RY group (15.6%) was significantly higher than that in Uncut RY group (2.0%) and B Ⅱ+Braun group (2.7%) ( F=19.320 ,P=0.000). There were no significant differences in postoperative 1-year nutritional indexes among three group ( P>0.05). Conclusions:The antiperistaltic Uncut RY anastomosis in LDG for GC is safe and feasible, which can reduce the incidences of reflux gastritis and RY stasis syndrome.
