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The Benefits of R Anastomotic Technique for Billroth-II Reconstruction With Braun Anastomosis During Totally Laparoscopic Distal Gastrectomy: a Propensity Score Matching Analysis

NCT06404580 — Completed, 246 participants, Daorong Wang

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RegistryNCT06404580
StatusCompleted
Study typeObservational
Enrollment246 (Actual)
SponsorDaorong Wang (Other)
Conditionsthe Incidences of Clavien-Dindo Grade II or Higher, Anastomotic Time
InterventionsR anastomosis (Procedure)
Datesstart 2019-03-01, primary completion 2022-09-01, completion 2023-01-01, first posted 2024-05-08, last updated 2024-05-08
Locations1 site in China

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-Summary

Between March 2019 and September 2022 in our centre, R anastomosis was performed on 123 patients undergoing TLDG for distal gastric cancer. A retrospective review of a prospectively collected database identified patients who underwent TLDG between January 2010 and September 2022. Patients who underwent R anastomosis were matched in a 1:1 ratio with patients who underwent conventional anastomosis using a propensity score based on age, sex, preoperative BMI, American Society of Anesthesiologists (ASA) score, and the history of abdominal surgery. Surgical and postoperative outcomes and clinicopathological data were analyzed for both groups.

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+Arms and interventions

ArmTypeInterventionsDescription
R anastomosisProcedure: R anastomosis
B-II-B anastomosisProcedure: R anastomosis
  • R anastomosis (Procedure): R anastomosis

+Outcome measures

Primary outcomes

  • the incidences of Clavien-Dindo grade II or higher [2010-2022]: the incidences of Clavien-Dindo grade II or higher
  • anastomotic time [2010-2022]: anastomotic time

+Eligibility

Sex: All, ages: 35 Years to 80 Years

Inclusion Criteria:

1. elective surgery for endoscopic and pathological diagnosis of malignant tumour of the gastric antrum or body with no distant metastases confirmed by multilayer spiral computed tomography;
2. patients who underwent B-II-B anastomosis during TLDG; and (3) patients who could be followed up postoperatively.

Exclusion Criteria:

(1) patients who had received preoperative neoadjuvant radiotherapy or chemotherapy; (2) patients undergoing emergency surgery; (3) the presence of other malignant tumours concurrently; and (4) patients who were lost to follow-up.

+Locations (1)

FacilityCityCountryStatus
Northern Jiangsu People's HospitalYangzhou, JiangsuChina

My Notes