• Department of General Surgery, General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu Province, China;
LIUHong-bin, Email: Liuhongbin999@163.com
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Objective To investigate the clinical efficacy and short-term complications of total laparoscopic distal gastrectomy, which adopting Billroth Ⅱ combining with Braun anastomosis. Methods Clinical data of 186 cases of distal gastric cancer who underwent total laparoscopic distal gastrectomy in our hospital from June 2012 to June 2014, including 86 cases who adopted Billroth Ⅱ combining with Braun anastomosis, and 100 cases who adopted Billroth Ⅱ anastomosis. The clinical efficacy was compared between these two groups. Results There was no significant difference in the opera-tion time, digestive tract reconstruction time, intraoperative blood loss, postoperative exhaust time, and hospital stay (P>0.05). However, compared with Billroth Ⅱ anastomosis group, the incidence rates of alkaline reflux gastritis, duodenal fistula, anastomositis, and postsurgical gastroparesis syndrome were lower in Billroth Ⅱ combining with Braun anastomosis group (P<0.05). Conclusion The application of Billroth Ⅱ combining with Braun anastomosis in total laparoscopic distal gastrectomy could reduce the incidence rates of alkaline reflux gastritis, duodenal fistula, anastomositis, and postsur-gical gastroparesis syndrome, and it is an ideal operation method to improve the quality of life for gastric cancer patients.

Citation: MAYou-wei, LIUHong-bin, HANXiao-peng, YANLong, YUJian-ping. Comparison of Efficacy of Billroth Ⅱ Combining with Braun Anastomosis and Billroth Ⅱ Anastomosis in The Total Laparoscopic Distal Gastrectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(3): 311-314. doi: 10.7507/1007-9424.20160083 Copy

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