Chang In Choi1, Dong Hoon Baek2, Si Hak Lee3, Sun Hwi Hwang3, Dae Hwan Kim4, Kwang Ha Kim2, Tae Yong Jeon1, Dong Heon Kim1. 1. Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea. 2. Department of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea. 3. Department of Surgery, Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, South Korea. 4. Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, South Korea. dh2-kim@hanmail.net.
Abstract
PURPOSE: This study aims to compare the effectiveness of Billroth-II with Braun and Roux-en-Y reconstruction after laparoscopic distal gastrectomy. METHODS: From April 2010 to August 2012, 66 patients underwent laparoscopic distal gastrectomy (Billroth-II with Braun reconstruction, 26; Roux-en-Y, 40). The patients' data were collected prospectively and reviewed retrospectively. RESULTS: The mean operation and reconstruction times were statistically shorter for Billroth-II with Braun reconstruction than Roux-en-Y (198.1 ± 33.0 vs. 242.3 ± 58.1 min, p = 0.001). One case of postoperative stricture was observed in each group. One case each of intra-abdominal abscess and delayed gastric emptying occurred in the Billroth-II with Braun group. At 1 year postoperatively, gastric residue and reflux esophagitis were not significantly different between the groups. Gastritis and bile reflux were more frequently observed in the Billroth-II with Braun group (p = 0.004 and p < 0.001, respectively). At 2 years postoperatively, gastric residue was not significantly different, but gastritis, bile reflux, and esophagitis were more frequent in the Billroth-II with Braun group (p = 0.029, p < 0.001, and p = 0.036, respectively). CONCLUSION: The postoperative effectiveness of Roux-en-Y reconstruction may be superior to Billroth-II with Braun reconstruction after laparoscopic distal gastrectomy.
PURPOSE: This study aims to compare the effectiveness of Billroth-II with Braun and Roux-en-Y reconstruction after laparoscopic distal gastrectomy. METHODS: From April 2010 to August 2012, 66 patients underwent laparoscopic distal gastrectomy (Billroth-II with Braun reconstruction, 26; Roux-en-Y, 40). The patients' data were collected prospectively and reviewed retrospectively. RESULTS: The mean operation and reconstruction times were statistically shorter for Billroth-II with Braun reconstruction than Roux-en-Y (198.1 ± 33.0 vs. 242.3 ± 58.1 min, p = 0.001). One case of postoperative stricture was observed in each group. One case each of intra-abdominal abscess and delayed gastric emptying occurred in the Billroth-II with Braun group. At 1 year postoperatively, gastric residue and reflux esophagitis were not significantly different between the groups. Gastritis and bile reflux were more frequently observed in the Billroth-II with Braun group (p = 0.004 and p < 0.001, respectively). At 2 years postoperatively, gastric residue was not significantly different, but gastritis, bile reflux, and esophagitis were more frequent in the Billroth-II with Braun group (p = 0.029, p < 0.001, and p = 0.036, respectively). CONCLUSION: The postoperative effectiveness of Roux-en-Y reconstruction may be superior to Billroth-II with Braun reconstruction after laparoscopic distal gastrectomy.
Authors: Chang Min Lee; Ji Ho Park; Chang In Choi; Han Hong Lee; Jae-Seok Min; Ye Seob Jee; Oh Jeong; Hyundong Chae; Sung Il Choi; Hua Huang; Sungsoo Park Journal: BMC Cancer Date: 2019-03-07 Impact factor: 4.430
Authors: Quan Wang; Qingrong Ni; Kelu Yang; Sheqing Ji; Yong Fan; Chen Wang; Wenbin Zhang; Su Yan; Qi Ma; Qiuya Wei; Di Zhang; Juan Yu; Gang Ji Journal: Cancer Manag Res Date: 2019-02-19 Impact factor: 3.989