To investigate the clinical efficacy of different digestive tract reconstruction methods in patients with gastric cancer after laparoscopic total gastrectomy.

The data of patients with gastric cancer treated with laparoscopic total gastrectomy from January 2016 to January 2019 were retrospectively analyzed. According to the different ways of digestive tract reconstruction, 43 cases were divided into study group and control group. In the control group, traditional Roux-en-Y anastomosis was used to reconstruct the digestive tract. In the study group, the double-channel jejunal digestive tract reconstruction was used. SPSS17.0 was used to analyze the data, and χ² test was performed on the counting data of complications. The perioperative index, blood nutrition index and other measurement data were expressed by (±s), and compared with independent t test. P<0.05 showed statistically significant differences.

There was no significant difference between the two groups in the time of the first feeding, the time of digestive tract reconstruction, the time of the first exhaust, the amount of blood loss and the length of hospital stay (P>0.05). Compared with the control group, the perioperative complications (9.8% vs. 27.5%) and postoperative complications (21.9% vs. 47.5%) were lower in the study group than in the control group (P<0.05). The changes of nutrition indexes and body mass in the study group were better than those in the control group (P<0.05).

For patients with gastric cancer with total gastrectomy, double-channel jejunal digestive tract reconstruction can reduce the incidence of complications, improve the safety of treatment and improve the prognosis of patients.