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

Authors：

 MAYou-wei ,  LIUHong-bin , HANXiao-peng , YANLong , YUJian-ping

Department of General Surgery, General Hospital of Lanzhou Military Region, Lanzhou 730050, Gansu Province, China;

Corresponding?author：

LIUHong-bin, Email: Liuhongbin999@163.com

Keywords：

Braun anastomosis; Billroth Ⅱ anastomosis; total laparoscopic distal gastrectomy; Efficacy

DOI：

10.7507/1007-9424.20160083

Video：

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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

1.	Chen XZ, Jiang K, Hu JK, et al. Cost-effectiveness analysis of chemo-therapy for advanced gastric cancer in China. World J Gastroenterol,2008, 14(17): 2715-2722.
2.	Hu JK, Yang K, Zhang B, et al. D2 plus para-aortic lymphadenec-tomy versus standardized D2 lymphadenectomy in gastric cancer surgery. Surg Today, 2009, 39(3): 207-213.
3.	Chen XZ, Hu JK, Zhou ZG, et al. Meta-analysis of effectiveness and safety of D2 plus para-aortic lymphadenectomy for resectable gastric cancer. J Am Coll Surg, 2010, 210(1): 100-105.
4.	Japanese Gastric Cancer Association. Japanese gastric cancer treat-ment guidelines 2010 (ver.3). Gastric Cancer, 2011, 14(2): 113-123.
5.	梁鵬, 羅建管. 畢Ⅱ氏胃大部分切除聯合Braun吻合術46例臨床分析. 中國醫師雜志, 2008, 10(2): 203-205.
6.	劉文韜, 劉福坤. 2002年版日本胃癌治療規范. 中華胃腸外科雜志, 2003, 6(2): 131-132.
7.	韓曉鵬, 于建平, 劉宏斌, 等. 應用無瘤技術行腹腔鏡下胃癌D2根治術153例. 解放軍醫藥雜志, 2014, 26(4): 60-63.
8.	季加孚, 季鑫. 胃癌根治術后消化道重建的現狀與未來. 中國普外基礎與臨床雜志, 2013, 20(6): 585-588.
9.	黃昌明, 林建賢. 腹腔鏡胃癌手術后消化道重建現狀. 中國普外基礎與臨床雜志, 2013, 20(6): 593-595.
10.	戚峰, 劉彤, 王鵬志. 胃切除消化道重建方式與術后并發癥. 中國實用外科雜志, 2013, 33(4): 337-339.
11.	石美鑫. 實用外科學. 第2版. 北京: 人民衛生出版社, 2002: 763-764.
12.	彭建平. Braun吻合在胃大部切除畢Ⅱ式吻合術中的應用體會. 中外醫學研究, 2014, 12(27): 133-134.
13.	陳孝平. 外科學. 第8版. 北京: 人民衛生出版社, 2014: 359-360.
14.	Shen L, Shan YS, Hu HM, et al. Management of gastric cancer in Asia: resource-stratified guidelines. Lancet Oncol, 2013, 14(12): e535-e547.
15.	惠廣學, 李輝, 邵海濤. 胃大部切除后畢Ⅱ式胃腸吻合術改良方法探討. 山東醫學高等專科學校學報, 2011, 33(5): 353-354.
16.	劉錚, 何純, 黃東, 等. 畢Ⅱ式吻合加Braun吻合術預防反流性胃炎55例分析. 中外醫療, 2013, 32(17): 22-23.
17.	沈偉, 張銀超, 陶國青, 等. 胃癌根治術后十二指腸殘端瘺的診治. 中華普通外科雜志, 2014, 29(10): 808-809.
18.	唐云, 李榮, 陳凜, 等. 胃癌切除術后胃腸道瘺的治療. 中華普通外科雜志, 2010, 25(3): 205-208.
19.	唐云, 李榮, 陳凜, 等. 胃癌切除術后十二指腸殘端瘺的營養支持. 中華胃腸外科雜志, 2008, 11(1): 47-49.
20.	Uppalapati SS, Ramzan Z, Fisher RS, et al. Factors contributing to hospitalization for gastroparesis exacerbations. Dig Dis Sci, 2009, 54(11): 2404-2409.
21.	Gonzalez HC, Velanovich V. Enterra therapy: gastric neurostimu-lator for gastroparesis. Expert Rev Med Devices, 2010, 7(3): 319-332.
22.	Aljarallah BM. Management of diabetic gastroparesis. Saudi J Gastroenterol, 2011, 17(2): 97-104.
23.	楊維良, 趙剛, 張新晨. 胃切除術后殘胃胃癱綜合征的臨床總結. 中華胃腸外科雜志, 2002, 5(4): 249-251.
24.	劉鳳林, 秦新裕. 根治性胃大部切除術后胃癱綜合征的回顧性研究. 中華胃腸外科雜志, 2002, 5(4): 245-248.
25.	尤龍, 張波, 白鵬. Braun's吻合預防畢Ⅱ式胃大部切除術后胃癱的作用. 中華實用診斷與治療雜志, 2009, 23(3): 302-303.

1. Chen XZ, Jiang K, Hu JK, et al. Cost-effectiveness analysis of chemo-therapy for advanced gastric cancer in China. World J Gastroenterol,2008, 14(17): 2715-2722.
2. Hu JK, Yang K, Zhang B, et al. D2 plus para-aortic lymphadenec-tomy versus standardized D2 lymphadenectomy in gastric cancer surgery. Surg Today, 2009, 39(3): 207-213.
3. Chen XZ, Hu JK, Zhou ZG, et al. Meta-analysis of effectiveness and safety of D2 plus para-aortic lymphadenectomy for resectable gastric cancer. J Am Coll Surg, 2010, 210(1): 100-105.
4. Japanese Gastric Cancer Association. Japanese gastric cancer treat-ment guidelines 2010 (ver.3). Gastric Cancer, 2011, 14(2): 113-123.
5. 梁鵬, 羅建管. 畢Ⅱ氏胃大部分切除聯合Braun吻合術46例臨床分析. 中國醫師雜志, 2008, 10(2): 203-205.
6. 劉文韜, 劉福坤. 2002年版日本胃癌治療規范. 中華胃腸外科雜志, 2003, 6(2): 131-132.
7. 韓曉鵬, 于建平, 劉宏斌, 等. 應用無瘤技術行腹腔鏡下胃癌D2根治術153例. 解放軍醫藥雜志, 2014, 26(4): 60-63.
8. 季加孚, 季鑫. 胃癌根治術后消化道重建的現狀與未來. 中國普外基礎與臨床雜志, 2013, 20(6): 585-588.
9. 黃昌明, 林建賢. 腹腔鏡胃癌手術后消化道重建現狀. 中國普外基礎與臨床雜志, 2013, 20(6): 593-595.
10. 戚峰, 劉彤, 王鵬志. 胃切除消化道重建方式與術后并發癥. 中國實用外科雜志, 2013, 33(4): 337-339.
11. 石美鑫. 實用外科學. 第2版. 北京: 人民衛生出版社, 2002: 763-764.
12. 彭建平. Braun吻合在胃大部切除畢Ⅱ式吻合術中的應用體會. 中外醫學研究, 2014, 12(27): 133-134.
13. 陳孝平. 外科學. 第8版. 北京: 人民衛生出版社, 2014: 359-360.
14. Shen L, Shan YS, Hu HM, et al. Management of gastric cancer in Asia: resource-stratified guidelines. Lancet Oncol, 2013, 14(12): e535-e547.
15. 惠廣學, 李輝, 邵海濤. 胃大部切除后畢Ⅱ式胃腸吻合術改良方法探討. 山東醫學高等專科學校學報, 2011, 33(5): 353-354.
16. 劉錚, 何純, 黃東, 等. 畢Ⅱ式吻合加Braun吻合術預防反流性胃炎55例分析. 中外醫療, 2013, 32(17): 22-23.
17. 沈偉, 張銀超, 陶國青, 等. 胃癌根治術后十二指腸殘端瘺的診治. 中華普通外科雜志, 2014, 29(10): 808-809.
18. 唐云, 李榮, 陳凜, 等. 胃癌切除術后胃腸道瘺的治療. 中華普通外科雜志, 2010, 25(3): 205-208.
19. 唐云, 李榮, 陳凜, 等. 胃癌切除術后十二指腸殘端瘺的營養支持. 中華胃腸外科雜志, 2008, 11(1): 47-49.
20. Uppalapati SS, Ramzan Z, Fisher RS, et al. Factors contributing to hospitalization for gastroparesis exacerbations. Dig Dis Sci, 2009, 54(11): 2404-2409.
21. Gonzalez HC, Velanovich V. Enterra therapy: gastric neurostimu-lator for gastroparesis. Expert Rev Med Devices, 2010, 7(3): 319-332.
22. Aljarallah BM. Management of diabetic gastroparesis. Saudi J Gastroenterol, 2011, 17(2): 97-104.
23. 楊維良, 趙剛, 張新晨. 胃切除術后殘胃胃癱綜合征的臨床總結. 中華胃腸外科雜志, 2002, 5(4): 249-251.
24. 劉鳳林, 秦新裕. 根治性胃大部切除術后胃癱綜合征的回顧性研究. 中華胃腸外科雜志, 2002, 5(4): 245-248.
25. 尤龍, 張波, 白鵬. Braun's吻合預防畢Ⅱ式胃大部切除術后胃癱的作用. 中華實用診斷與治療雜志, 2009, 23(3): 302-303.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparison of Efficacy of Billroth Ⅱ Combining with Braun Anastomosis and Billroth Ⅱ Anastomosis in The Total Laparoscopic Distal Gastrectomy

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