Efficacy analysis of two types of digestive tract reconstruction in laparoscopic radical distal gastrectomy

Objective:To explore the clinical effects of Roux-en-Y Uncut anastomosis(Uncut type) and Roux-en-Y anastomosis(R-Y type) in laparoscopic radical distal gastrectomy.Methods:The clinical data of 86 patients treated with laparoscopic radical distal gastrectomy from March 2015 to March 2016 were retrospectively analyzed.The patients were divided into the observation group and control group according to the different ways of reconstruction of gastrointestinal jejunum.The observation group was anastomosed with Uncut type of gastric jejunum,and the control group was anastomosed with R-Y type of gastric jejunum.The total operation time,intraoperative total bleeding,postoperative anus ventilation time,postoperative feeding fluid time,postoperative Roux retention syndrome(RSS) and postoperative hospitalization time between two groups were compared.Results:The difference of the total operative time between two groups was not statistically significant(P>0.05).The differences of the intraoperative total bleeding,postoperative anus ventilation time,postoperative feeding fluid time,postoperative RSS and postoperative hospitalization time between two groups were statistically significant(P<0.05 to P<0.01).Conclusions:In laparoscopic radical resection of distal gastric carcinoma,the incidence of postoperative RSS complications and postoperative hospital stay in patients treated with gastric jejunal Uncut type anastomosis were less than those in patients treated with R-Y type anastomosis.The gastric jejunal Uncut type anastomosis has good effect,and is a safe and effective operation method,which can improve the postoperative quality of life of patients.