Billroth-II with Braun Versus Roux-en-Y Reconstruction in Totally Laparoscopic Distal Gastrectomy for Gastric Cancer

Overview

Journal Wideochir Inne Tech Maloinwazyjne

Publisher Termedia

Date 2021 Dec 24

PMID 34950260

Citations 3

Authors

Feng Chi

Yuefu Lan

Tienan Bi

Shenkang Zhou

Affiliations

Soon will be listed here.

Abstract

Introduction: Totally laparoscopic distal gastrectomy (TLDG) has been increasingly adopted for the treatment of gastric cancer. Both Billroth-II with Braun (B-IIB) reconstruction and Roux-en-Y (R-Y) reconstruction are commonly performed in TLDG; however, which of these reconstruction techniques is better remains unclear.

Aim: To compare the efficacy of B-IIB reconstruction and R-Y reconstruction in TLDG for gastric cancer.

Material And Methods: A total of 105 gastric cancer patients who underwent TLDG with B-IIB or R-Y reconstruction were reviewed from January 2019 to July 2020. Clinicopathological characteristics and perioperative data of the B-IIB and R-Y groups were compared.

Results: Clinicopathological characteristics were not significantly different between the B-IIB and R-Y groups. The average total operative time for the R-Y group (161.9 ±20.7 min) was significantly longer than that for the B-IIB group (141.9 ±16.7 min). The average anastomosis time for the R-Y group (25.5 ±4.1 min) was also significantly longer than that for the B-IIB group (18.9 ±3.3 min). Blood loss volume, number of retrieved lymph nodes, time to first flatus, average length of postoperative hospital stay, inflammatory parameters and postoperative complications did not differ between the two groups.

Conclusions: Both B-IIB reconstruction and R-Y reconstruction are safe and effective in TLDG. B-IIB reconstruction is easier and faster to perform than R-Y reconstruction in TLDG.

Citing Articles

Patient-reported gastrointestinal symptoms in gastric cancer after laparoscopic distal gastrectomy.

Xiao S, Ding Z, Zhao F, Yang C, Zhao P, Chen X Front Oncol. 2024; 14:1421643.

PMID: 39540148 PMC: 11557471. DOI: 10.3389/fonc.2024.1421643.

Short- and long-term outcomes of Roux-en-Y and Billroth II with Braun reconstruction in total laparoscopic distal gastrectomy: a retrospective analysis.

Chen Y, Huang Q, Wang P, Zhu Y, Chen L, Wu C World J Surg Oncol. 2023; 21(1):361.

PMID: 37990273 PMC: 10664253. DOI: 10.1186/s12957-023-03249-6.

Effects of different gastrointestinal reconstruction techniques on nutrition, anemia, and quality of life in laparoscopic distal gastrectomy for gastric cancer.

Jun B, Nian L, Shan H, Hong-Jun Y, Heng-Yi D, Wu W Acta Cir Bras. 2022; 37(4):e370408.

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