Abstract：ObjectiveTo investigate the feasibility and value of laparoscopic BillrothⅡ distal gastrectomy with Brown anastomosis in the treatment of distal gastric cancer.MethodsAltogether 90 patients who underwent distal gastrectomy for gastric cancer in our hospital from January 2014 to December 2016 were retrospective analyzed and divided according to the surgeries into laparoscopic group (group A with Brown anastomosis in 30 cases,group B without Brown anastomosis in 30 cases)and laparotomy group (with Brown anastomosis in 30 cases).The age,sex,operation time,incision length,bleeding volume,number of lymph node dissection,postoperative white cell values,postoperative hospitalization time and related complications were compared.ResultsThe operation time of the laparoscopic group was obviously longer than that of laparotomy group,intraoperative bleeding was less than that in the laparotomy group,incision length and postoperative hospitalization time were less than those in the laparotomy group,increasing range of postoperative white blood cells was less than that in the laparotomy group,the use of analgesics was less than that of the laparotomy group,the time of discharge and the time of delivery were earlier than those of the laparotomy group,and the differences were statistically significant(P＜0.01).The incidence of incisional infection and postoperative complications were compared between laparoscopic and laparotomy group,and the differences were statistically significant(P＜0.05).There were significantly more non－reflux in the laparoscopic group A and the laparotomy group than the laparoscopic group B,and the difference was statistically significant(P＜0.05).The number of lymph node dissection and the short－term survival rate in the laparoscopic group were compared with that of the laparotomy group,and the differences were not statistically significant(P＞0.05).ConclusionLaparoscopic BillrothⅡ distal gastrectomy with Brown anastomosis is effective in the treatment of distal gastric cancer and has the advantages of less bleeding,quicker postoperative recovery and less postoperative complications.
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