Comparison Of Three Gastrointestinal Reconstruction Methods After Gastric Cancer Operation

Objective To investigate the effects of three digestive tract reconstruction methods on the prognosis of patients with distal gastric cancer under radical resection.Methods A total of 91 patients underwent laparoscopic radical gastrectomy for radical surgery from January 2011 to August 2013 in our hospital.They were divided into three groups according to different ways of digestive tract reconstruction.We observed the operation time,intraoperative bleeding and postoperative complications of the three groups.Results There are no significant differences in operative time,intraoperative bleeding,postoperative hospital stay,and postoperative hospitalization for bleeding,anastomotic leakage,lymphatic leakage,infection,and obstructive complications in these three groups.The incidences of bile reflux,reflux esophagitis,and dumping syndrome complications in the Roux-en-y group are lower than the others(P<0.05).But there is no significant difference in the incidence rates of intestinal obstruction and gastric retention.There were no significant differences in the 3-year and 5-year survival rates between the three groups.Conclusion Using Roux-en-y anastomosis in gastrointestinal reconstruction after laparoscopic distal gastric cancer D2 radical resection,comparedwith traditional Billroth II anastomosis and Billroth II with Braun anastomosis,it can reducethe probability of complications of postoperative bile reflux,reflux esophagitis and dumping syndrome,without increasing the patient's operation time,intraoperative bleeding,postoperative hospital stayand the risk of bleeding,anastomotic leakage and other complications,which can help improve the life quality of patients.