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To compare the safety and feasibility of Delta-shaped anastomosis and Billroth II anastomosis after totally laparoscopic distal gastrectomy for gastric cancer(TLDG).
Methods: 78 consecutive patients who underwent TLDG in First Hospital of Jilin University between October 2012 and December 2014 were enrolled in this study . All patients were divided randomly into two groups:Delta-shaped anastomosis group (DS group) and Billroth II anastomosis group (B-II group), and the patients in DS group underwent Delta-shaped anastomosis after TLDG, and the patients in B-II group underwent Billroth-II anastomosis after TLDG.Outcome measures,resected margin,operative time,anastomosis time,number of stapler cartridges used,length of the incision,the time of first flatus and liquid diet,hospital stay and postoperative morbidity are compared between the two groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Delta-shaped anastomosis group | Experimental | The patients in DS group underwent Delta-shaped anastomosis after TLDG. |
|
| Billroth II anastomosis group | Experimental | The patients in B-II group underwent Billroth-II anastomosis after TLDG. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Delta-shaped anastomosis | Procedure | The patients in DS group underwent Delta-shaped anastomosis after TLDG. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Stage distribution | up to 7 days after the operation | |
| Resected margin | up to 7 days after the operation | |
| Operative time | up to 7 days after the operation | |
| Anastomosis time | up to 7 days after the operation | |
| The number of stapler cartridges used | up to 7 days after the operation | |
| Median estimated blood loss | up to 7 days after the operation | |
| Red blood cell transfusion | up to 7 days after the operation | |
| Length of the incision | up to 7 days after the operation |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative complication | Major complications includes anastomosis leakage and intrabdominal bleeding . Minor complications includes bile regurgitation,anastomotic stenosis and delayed gastric emptying. | up to 30 days after the operation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Quan Wang, Doctor | The First Hospital of Jilin University | Study Director |
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| ID | Term |
|---|---|
| D013274 | Stomach Neoplasms |
| ID | Term |
|---|---|
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Billroth II anastomosis | Procedure | The patients in B-II group underwent Billroth-II anastomosis after TLDG. |
|
| D004066 |
| Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D013272 | Stomach Diseases |