The Comparison Of Billroth ? Combining Braun Type Anastomosis And Roux-en-Y Anastomosis In Laparoscopic Distal Gastric Cancer Surgery

Objective:Compare Billroth ? combining Braun anastomosis and Roux-en-Y anastomosis in the effect of laparoscopic distal gastric cancer surgery in the digestive tract reconstruction.Methods:In our hospital during June 2010- June 2015 lines of 72 cases of laparoscopic distal gastric cancer radical were retrospectively analyzed. Billroth ? combining Braun anastomosis surgery 40 cases, Roux-en-Y anastomosis surgery, 32 cases. Compare the length of time, operation time and cost of treatment. Comparative diarrhea, postoperative anastomotic fistula, obstruction, postoperative complications bleeding, dumping syndrome.Results:Compare Billroth ? combining Braun anastomosis surgery group with Roux-en-Y treatment length of hospital stay(Billroth ? combining Braun anastomosis of 18.75±4.2days, Roux-en- Y anastomosis of 19.25±5.5 days), hospitalization expenses(Billroth ? combining Braun anastomosis of 10.83±26900 yuan, Roux-en-Y anastomosis of 11.3±32600 yuan), operation time(Billroth ? combining Braun anastomosis of 5.05± 0.75 hours, Roux-en-Y anastomosis of 5.3±0.66 hours), there was no statistically significant difference.Compared the postoperative complications, reflux P < 0.05 difference was statistically significant, diarrhea, postoperative anastomotic fistula, obstruction, bleeding,dumping syndrome P > 0.05, there was no statistically significant difference.Conclusion:Billroth ? combining Braun anastomosis and Roux-en-Y anastomosis in laparoscopic distal gastric cancer radical have the same safety and effectiveness. Billroth ? combining Braun matches the flow rate is higher than Roux-en-Y anastomosis, not away from off the Roux-en-Y of jejunum anastomosis of the anticipated effect.