To analyze the value of laparoscopic distal gastrectomy +Braun anastomosis for advanced gastric cancer.

A total of 74 patients with advanced gastric cancer from December 2017 to December 2020 were randomly divided into Braun group and BillrothⅡ group，37 cases in each group. All patients underwent laparoscopic-assisted distal gastric cancer radical resection. BillrothⅡ anastomosis was performed in BillrothⅡ group，while Braun group underwent BillrothⅡ+Braun anastomosis. SPSS 22.0 statistical software was used to analyze the data，and χ² test was used. Perioperative indicators are expressed by（

There was no significant difference in operation time，incision length，intraoperative blood loss and lymph node dissection between the two groups（P>0.05）. The postoperative hospital stay and gastric tube indwelling time in Braun group were lower than those in the BillrothⅡ group（P<0.05）. The incidence of postoperative complications in Braun group was lower than that in the BillrothⅡ group（P<0.05）. Scores of dysphagia and reflux symptoms in 2 groups were increased 3 months after surgery，while scores of pain，eating limitation，body image and hair loss were decreased 3 months after surgery. Scores of dysphagia and reflux symptoms in Braun group were lower than those in BillrothⅡgroup（P<0.05）. Albumin，total protein and hemoglobin in 2 groups were increased 3 months after surgery compared with 1 week before surgery，and Braun group was higher than BillrothⅡgroup（P<0.05）.

Laparoscopic-assisted distal gastrectomy +Braun anastomosis can promote early postoperative recovery of patients with advanced gastric cancer，reduce the incidence of postoperative complications，improve the nutritional status of patients and reduce the impact of surgery on the quality of life of patients.