Effect of different reconstruction ways of digestive tract on the reflux after laparoscopic gastric cancer surgery

ObjectiveTo analyze the related factors of the gastrointestinal reflux after laparoscopic gastric cancer surgery, and explore its treatment measures.

MethodsThe clinical data of 1835 patients treated with laparoscopic gastric cancer surgery were retrospectively analyzed.Three hundred and eighty-six cases were treated with gastroduodenal anastomosis(B-Ⅰ type), 1002 cases were treated with gastric jejunum anastomosis(B-Ⅱ type), 412 cases were treated with stomach empty Roux-en-Y anastomosis, and 35 cases were treated with triangle anastomosis.

ResultsPostoperative stageⅠreflux in 13 cases, stage Ⅱ reflux in 12 cases, stage Ⅲ and Ⅳ reflux in 5 cases were identified in the patients treated with B-Ⅰtype anastomosis.Postoperative stageⅠreflux in 39 cases, stage Ⅱ reflux in 67 cases, stage Ⅲ and Ⅳ reflux in 71 cases were identified in the patients treated with B-Ⅱtype anastomosis.Postoperative stageⅠreflux in 9 cases, stage Ⅱ reflux in 7 cases, stage Ⅲ and Ⅳ reflux in 3 cases were identified in the patients treated with stomach empty Roux-en-Y anastomosis.Postoperative stageⅠreflux in 1 case, and no stage Ⅱ, Ⅲ and Ⅳ reflux case were identified in the patients treated with triangle anastomosis.

ConclusionsLaparoscopic triangle anastomosis in gastric cancer surgery has more obvious advantages of anti-reflux.