Efficacy comparison of two digestive tract reconstruction methods after laparoscopic total gastrectomy of gastric cancer

Abstract

Objective To investigate the efficacy of two digestive tract reconstruction methods after laparoscopic total gastrectomy of gastric cancer.Methods Forty patients of gastric cancer were divided into two groups,20 cases were treated by Roux-en-Y jejunal anastomosis (Roux-en-Y group),and another 20 cases were treated by Moynihan anastomosis (Moynihan group).The surgery,postoperative complications and long-term survival were compared between two groups.Results The operative time,intraoperative bleeding,operative mortality,dumping syndrome,diarrhea and survival rate between two groups had no significant difference (P ＞0.05).But the rate of reflux esophagitis in Roux-en-Y group (2/20) was significantly lower than that in Moynihan group (15/20)(P ＜ 0.05).Conclusion The two methods of digestive tract reconstruction are all safe and practicable,but Roux-en-Y jejunal anastomosis for reconstruction after gastric resection is easy to operate with few complications,and it is an appropriate method of digestive tract reconstruction. Key words: Stomach neoplasms; Laparoscopic total gastrectomy; Digestive tract reconstruction