[Comparison among three reconstruction techniques after distal radical gastrectomy]

Area of Science:

• Surgical Oncology
• Gastrointestinal Surgery
• Medical Technology

Background:

• Radical resection of distal gastric cancer necessitates reconstruction.
• Various techniques exist, each with potential drawbacks.
• Evaluating surgical efficacy and patient outcomes is crucial.

Purpose of the Study:

• To compare the surgical efficacy of three distinct reconstruction techniques following distal gastric cancer resection.
• To assess the impact of Billroth I, Billroth II, and Roux-en-Y anastomosis on postoperative outcomes and quality of life.

Main Methods:

• Retrospective analysis of 169 distal gastric cancer patients (2007-2010).
• Comparison of Billroth I (n=60), Billroth II (n=41), and Roux-en-Y (n=68) anastomosis.
• Evaluation using operative time, blood loss, gastric tube removal time, and a specific symptoms scale for quality of life.

Main Results:

• Roux-en-Y anastomosis showed longer operative time and greater blood loss compared to Billroth I and II.
• Roux-en-Y resulted in shorter gastric tube removal time.
• Roux-en-Y significantly reduced postoperative reflux and heartburn (P<0.05).

Conclusions:

• Roux-en-Y anastomosis, while complex, effectively prevents reflux complications after distal gastric cancer resection.
• It offers a better quality of life by mitigating common postoperative symptoms.
• Roux-en-Y is recommended as a superior reconstruction technique in this context.