Background: Uncut Roux en-Y gastrojejunostomy, recently developed in China is useful in the treatment of distal gastric cancer. This study aims to compare laparoscopic gastric jejunum Uncut Roux-en-Y anastomosis with conventional anastomosis in the surgical treatment of distal gastric malignancy.
Methods: A total of 178 cases diagnosed with distal gastric malignant tumors were surgically treated in the First affiliated Hospital of Anhui University of cavity mirrors. In this retrospective study, the clinical data of patients and their follow-up records were analyzed. Out of the 178 cases, 112 cases (uncut group) were the observation group for stomach jejunum Uncut Roux-en-Y anastomosis, the control group for the stomach, 66 cases (conventional group) were for jejunum Roux-en-Y anastomosis and Billroth Ⅰ and Billroth Ⅱ anastomosis. A comparison between the two groups was conducted based on the general situation of the patients, TNM stage, and one-year survival rate. A P-value of less than 0.05 was considered statistically significant (p<0.05), while a P-value of more than 0.05 was considered statistically insignificant (p>0.05).
Results: There was no significant difference was reported between the two groups in terms of the general situation and TNM stage. A comparison on postoperative complications between the two groups revealed that the incidence rate of postoperative anastomotic bleeding was 0.9% (1/112), 6.1% (4/66), the incidence rate of alkaline reflux gastritis was 1.8% (2/112), 9.1% (6/66), the incidence rate of anastomotic fistula was 0.0% (0/112), 3.0% (3/66), and the Roux retention syndrome (RSS) incidence rate was 0.9% (1/112), 7.6% (5/66). The observation group significantly lower than the control group, and the difference was statistically significant. The incidence rate of overall complications was at 3.6% (4/112) and 25.8% (17/66), which was significantly lower in the observation group than in the control group, and the difference was statistically significant. Notably, there was no significant difference in 1-year survival rate between the two groups.
Conclusion: Laparoscopic gastric jejunal Uncut Roux-en-Y anastomosis significantly reduces the risk of postoperative complications of the digestive tract. Its operation is easy and exhibits an effective curative effect. Moreover, it has a better surgical effect and a promising clinical application prospect compared to conventional gastric jejunal anastomosis.