Comparison among three reconstruction techniques after distal radical gastrectomy / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 845-847, 2012.
Article
in Chinese
| WPRIM (Western Pacific)
| ID: wpr-321520
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To compare surgical efficacy after three different reconstruction techniques after radical resection of distal gastric cancer.</p><p><b>METHODS</b>Clinical data of 169 cases of distal gastric cancer operated in our hospital from 2007 to 2010 were retrospectively analyzed. The reconstruction techniques included Billroth I (anastomosis (n=60), Billroth II (anastomosis (n=41), and Roux-en-Y anastomosis (n=68). Efficacy among 3 groups was compared. Specific symptoms scale was used to evaluate the quality of life in three methods after three months.</p><p><b>RESULTS</b>Compared to Billroth I(anastomosis and Billroth II (anastomosis, Roux-en-Y anastomosis had longer operative time [(266.3±70.4) min vs. (196.2±54.3) min, and (228.5±67.7) min], more blood loss [(220.9±67.6) ml vs. (170.5±61.5) ml and (188.5±76.7) ml], and shorter time to gastric tube removal [(2.6±1.5) d vs. (3.1±1.3) d and (3.6±1.2) d], milder postoperative reflux and heartburn sensation(specific symptoms scale, 1.8±0.4 vs. 1.9±0.6 and 2.6±0.4, P<0.05).</p><p><b>CONCLUSIONS</b>Although Roux-en-Y anastomosis is not consistent with physiological route and the procedure is more complex to perform, it can effectively prevent reflux complications. Roux-en-Y anastomosis is a better reconstruction technique after radical resection of distal gastric cancer.</p>
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Stomach Neoplasms
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General Surgery
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Anastomosis, Roux-en-Y
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Retrospective Studies
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Treatment Outcome
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Plastic Surgery Procedures
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Gastrectomy
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Methods
Type of study:
Observational study
Aspects:
Patient-preference
Limits:
Adult
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Aged
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Aged, 80 and over
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Female
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Humans
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Male
Language:
Chinese
Journal:
Chinese Journal of Gastrointestinal Surgery
Year:
2012
Document type:
Article