Case Report
B-II reconstruction with Braun’s anastomosis after totally laparoscopic distal gastrectomy with D2 lymph node dissection for advanced gastric cancer
Abstract
Background: B-II reconstruction is a mature way in radical operation of gastric cancer. It can confirm the negative margin in advanced gastric cancer. And it makes the digestive juices flow more freely and prevents delayed gastric emptying with Braun’s anastomosis.
Methods: We choose a 59-year-old man with moderately differentiated adenocarcinoma of gastric antrum who was diagnosed by gastroscopy and histological test and conform to the treatment standard of totally laparoscopic distal gastrectomy (TLDG) with D2 lymph node dissection and B-II reconstruction and Braun’s anastomosis.
Results: The total length of operation was 190 min. The entire bleeding was 40 mL. The patient ate liquid diet on the 3rd day and discharged from hospital with the wound class-A healing on the 7th day.
Conclusions: TLDG with B-II reconstruction and Braun’s anastomosis using laparoscopic linear staplers reduces gastrointestinal function disorder and minimals the surgical incision, is a safe and feasible surgical method.
Methods: We choose a 59-year-old man with moderately differentiated adenocarcinoma of gastric antrum who was diagnosed by gastroscopy and histological test and conform to the treatment standard of totally laparoscopic distal gastrectomy (TLDG) with D2 lymph node dissection and B-II reconstruction and Braun’s anastomosis.
Results: The total length of operation was 190 min. The entire bleeding was 40 mL. The patient ate liquid diet on the 3rd day and discharged from hospital with the wound class-A healing on the 7th day.
Conclusions: TLDG with B-II reconstruction and Braun’s anastomosis using laparoscopic linear staplers reduces gastrointestinal function disorder and minimals the surgical incision, is a safe and feasible surgical method.
