Uncut Roux-en-Y vs Roux-en-Y reconstruction after distal gastrectomy for gastric cancer

To search which is the better reconstructions by comparing and analyzing the advantages and disadvantages between Uncut Roux-en-Y and Roux-en-Y reconstructions after laparoscopy-assisted distal gastrectomy for gastric cancer.

Method: It's a prospective study including all patients underwent laparoscopy-assisted distal gastrectomy (LADG) in the First Hospital of Jilin University. All surgical procedures will be performed by the single surgery team, which is leaded by professor Wang Quan. The reconstruction method will be selected randomly from Uncut Roux-en-Y and Roux-en-Y anastomosis preoperatively without distinct indications. All clinical data, operation data, perioperative complications and related physiological indexes after surgery will be compared.

Inclusion Criteria:

• Clinical diagnosis of distal gastric cancer
• underwent laparoscopy-assisted distal gastrectomy

Exclusion Criteria:

• have simultaneously other cancer
• have severe systemic inflammatory disease ,serious illness such as diabetes, chronic lung diseases
• have upper gastrointestinal surgery
• can't bear the gastric tube
• the period is too late or the tumor is too large to carry on a laparoscopy assisted radical distal gastrectomy