Comparative Study Of Uncut Roux-en-Y Anastomosis With Billroth-Ⅱ Anastomosis In Laparoscopic Assisted Radical Resection Of Gastric Cancer

Objective:To explore the clinical curative effect of laparoscopic radical distal gastrectomy between Uncut Roux-en-Y anastomosis with Billroth-II.Methods:A total of 70 patients with gastric cancer were divided into observation group and control group,with 35 cases in each group from June 2016 to February 2018 in Yi Jishan hospital.Observation group of patients taking laparoscopic assisted Uncut Roux en-Y type,control group patients adopt laparoscopic assisted Billroth-Ⅱ type,all patients were accepted standard D2 radical prostatectomy.The rate of operation duration,length of hospital stay,amount of surgical bleeding,postoperative ventilation time,anastomotic fistula,duodenal stump fistula,alkaline reflux gastritis and gastroparesis syndrome were compared.Results: The Uncut Roux-en-Y anastomosis can significantly reduce the occurrence rate of duodenal stump fistula and alkaline reflux gastritis,the difference has statistically significant(P<0.05);Laparoscopic-assisted distal gastric cancer and laparoscopic-assisted Billroth-Ⅱ anastomosis in hospital stay,amount of surgical bleeding,postoperative ventilation time and anastomotic leakage rate was no significant difference(P>0.05);Uncut Roux-en-Y Anastomosis use more time than Billroth-Ⅱ anastomosis,which may be relatively complicated surgery,the procedure is relatively more relevant.Conclusion: Laparoscopic assisted Uncut Roux-en-Y anastomosis can effectively reconstruct the digestive tract.Although surgery operating time is longer,but there wans no statistical difference between the length of hospital stay,the amount of intraoperative bleeding,the time of postoperative ventilation,and anastomotic fistula.Laparoscopic assisted Uncut Roux-en-Y anastomosis not only can reduce the incidence of bile reflux gastritis and duodenal stump fistula.It can significantly improve the life quality of patients,and it is worth promoting.