Abstract:
Objective To investigate the clinical effect of different anastomosis methods in Billroth Ⅰ digestive tract reconstruction in distal gastrectomy.
Methods The clinical data of 90 patients with laparoscopic distal gastrectomy and Billroth Ⅰ digestive tract reconstruction from June 2017 to December 2019 were prospectively included. The patients were divided into group A，group B and group C by random number table method，with 30 patients in each group. Group A was triangulated，group B was modified triangulated，group C adopts Overlap anastomosis method. SPSS 22.0 software was used to process data，and the measurement data were expressed as（
±
s），single factor variance analysis was performed among multiple groups，
LSD-t test was performed between two groups；
Row rank sum test and
χ2 test were performed for rank count data and non-rank count data；
Kaplan-Meier method and
Log-Rank test were used for survival analysis.
P<0.05 indicated statistically significant difference.
Results The operative time and anastomosis time of the three groups were significantly different（P<0.05）.The operation time and anastomosis time of group B and group C were significantly lower than those of group A（P<0.05）；There were statistically significant differences in anastomose-related complications among the three groups（P<0.05），the incidence of anastomotic complications in group B was significantly lower than that in group A（0.0% vs. 20.0%，P<0.05）；Kaplan Meier analysis showed that there was no significant difference in overall survival rate and disease-free survival rate among the three groups（P>0.05）.
Conclusion In laparoscopic distal gastrectomy with Billroth Ⅰ digestive tract reconstruction，modified triangular anastomosis and overlap anastomosis not only shorten the operation time and anastomosis time，but also reduce the risk of postoperative complications of patients，without affecting the prognosis，which has more advantages.
Key words:
Stomach neoplasms,
Laparoscopes,
Anastomosis method,
Comparative effectiveness research
Chao Han. Clinical comparative study of different anastomosis methods in Billroth Ⅰ gastrointestinal reconstruction in laparoscopic distal gastrectomy for gastric cancer[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2022, 16(03): 299-302.