Comparison of the Application of Improved Billroth Ⅱ+Brown Anastomosis and U-RY Anastomosis in Laparoscopic Distal Gastrectomy for Gastric Cancer
Objective To compare the clinical effects of improved Billroth Ⅱ+Brown anastomosis and U-RY anastomosis in laparoscopic distal gastrectomy for gastric cancer.Methods A retrospective analysis was conducted on the clinical data of 123 gastric cancer patients who underwent laparoscopic distal gastrectomy at Department of Surgical Oncology of Tumor Hospital Xinyang from March 2022 to April 2023.According to types of anastomosis,61 patients who underwent U-RY anastomosis were divided into two groups,and 62 patients who underwent modified Billroth Ⅱ+Brown anastomosis were included in the modified Billroth Ⅱ+Brown anastomosis group.Perioperative indicators,gastrointestinal function recovery,recurrence rate and incidence of complications were compared between two groups.Results The hospitalization time and bowel sound recovery time of the improved Billroth Ⅱ+Brown anastomosis group were shorter than those of the U-RY anastomosis group(P＜0.05).There was no significant difference in the one-year postoperative recurrence rate between the two groups of patients(P＞0.05).The incidence of long-term postoperative complications in the improved Billroth Ⅱ+Brown anastomosis group was lower than that in the U-RY anastomosis group(P＜0.05).Conclusion Compared with U-RY anastomosis,the use of modified Billroth Ⅱ+Brown anastomosis in laparoscopic distal gastrectomy for gastric cancer has a better effect.It can shorten the hospital stay and bowel sound recovery time of patients,and reduce the risk of long-term complications.
gastric cancerimproved Billroth Ⅱ+Brown anastomosisU-RY anastomosislaparoscopic distal gastrectomy for gastric cancer
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