Đánh giá hiệu quả tái lập lưu thông tiêu hóa bằng kỹ thuật Roux-en-y sau cắt dạ dày bán phần dưới điều trị ung thư dạ dày

Abstract

Objective: To evaluate the feasibility, safety, and outcomes of Roux-en-Y reconstruction after distal gastrectomy for gastric carcinoma. Subject and method: A prospective study was conducted on 42 patients with adenocarcinoma of the distal third of the stomach, who underwent distal gastrectomy and Roux-en-Y reconstruction at Viet Duc Hospital between March 2014 and August 2018. Operative parameters, postoperative complications, and long-term outcomes were analyzed. Result: The mean operative time was 170.3 ± 22.3 minutes (range, 120–215). The mean number of retrieved lymph nodes was 20.3 ± 4.5 (range, 12–33). Intraoperative complication included 1 case (2.4%) of mesenteric bleeding. The mean follow-up period was 22.7 ± 11.2 months (range, 2 - 52). Clinical bile reflux occurred in 9.4% of patients. Median bilirubin and amylase levels in gastric juice after bowel movement were 0.5mmol/L and 152mmol/L, respectively. Anastomotic gastritis was observed in 43.8% of cases. Early dumping syndrome occurred in 9.4% of patients, while no late dumping syndrome was recorded. Conclusion: Roux-en-Y reconstruction after distal gastrectomy for gastric carcinoma is feasible and safe, with a low rate of complications and an effective reduction of bile reflux.