To compare the safety and feasibility of Delta-shaped anastomosis and Billroth II anastomosis after totally laparoscopic distal gastrectomy for gastric cancer(TLDG).
Methods: 78 consecutive patients who underwent TLDG in First Hospital of Jilin University between October 2012 and December 2014 were enrolled in this study . All patients were divided randomly into two groups:Delta-shaped anastomosis group (DS group) and Billroth II anastomosis group (B-II group), and the patients in DS group underwent Delta-shaped anastomosis after TLDG, and the patients in B-II group underwent Billroth-II anastomosis after TLDG.Outcome measures,resected margin,operative time,anastomosis time,number of stapler cartridges used,length of the incision,the time of first flatus and liquid diet,hospital stay and postoperative morbidity are compared between the two groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
78
The patients in DS group underwent Delta-shaped anastomosis after TLDG.
The patients in B-II group underwent Billroth-II anastomosis after TLDG.
Stage distribution
Time frame: up to 7 days after the operation
Resected margin
Time frame: up to 7 days after the operation
Operative time
Time frame: up to 7 days after the operation
Anastomosis time
Time frame: up to 7 days after the operation
The number of stapler cartridges used
Time frame: up to 7 days after the operation
Median estimated blood loss
Time frame: up to 7 days after the operation
Red blood cell transfusion
Time frame: up to 7 days after the operation
Length of the incision
Time frame: up to 7 days after the operation
Postoperative complication
Major complications includes anastomosis leakage and intrabdominal bleeding . Minor complications includes bile regurgitation,anastomotic stenosis and delayed gastric emptying.
Time frame: up to 30 days after the operation
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