To investigate the impact of different anastomotic methods on postoperative recovery and complication rates in patients undergoing laparoscopy-assisted distal gastrectomy for gastric cancer.

Clinical data of 102 gastric cancer patients who underwent laparoscopy-assisted distal gastrectomy from March 2023 to March 2025 were collected retrospectively. Patients were grouped based on the digestive tract reconstruction method: Group A (n=52, underwent BillrothⅡanastomosis + Braun anastomosis) and Group B (n=50, underwent uncut Roux-en-Y anastomosis). Data were analyzed using SPSS 26.0 software. Categorical data were expressed as [cases (%)] and analyzed using the χ² test, Fisher’s exact test, or continuity-corrected χ² test. Measurement data, which were confirmed to follow a normal distribution by the Shapiro-Wilk test, were expressed as (±s) and analyzed using the independent samples t test. P<0.05 was considered statistically significant.

Compared with Group A, patients in Group B had significantly shorter durations of operation, bowel sound recovery, first flatus, first oral intake, and first defecation (P<0.05). At 7 days postoperatively, hemoglobin, serum albumin, and serum transferrin levels decreased in both groups, but these levels were significantly higher in Group B than in Group A (P<0.05). There was no statistically significant difference in the total incidence of postoperative complications between the two groups (P>0.05).

Compared with Billroth Ⅱ+ Braun anastomosis, uncut Roux-en-Y anastomosis is more beneficial for shortening operation time, promoting gastrointestinal function recovery and postoperative recovery, and improving early postoperative nutritional status.