BIẾN CHỨNG CỦA MIỆNG NỐI BILLROTH 1 SAU PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT BÁN PHẦN CỰC DƯỚI DẠ DÀY NẠO VÉT HẠCH D2 ĐIỀU TRỊ UNG THƯ BIỂU MÔ TUYẾN PHẦN THẤP DẠ DÀY TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: Evaluate complications of the billroth 1 anastomosis technique after totally laparoscopic distal gastrectomy with D2 lymphadenectomy for the treatment of adenocarcinoma of the lower stomach at Ha Noi medical university hospital. Method: Description of the study of 28 who underwent totally laparoscopic distal gastrectomy with D2 lymphadenectomy and intracorporeal Billroth 1 anastomosis for adenocarcinoma of the lower stomach from April 2023 to May 2024 at Ha Noi Medical University Hospital. Results and discussion: The average age of the study group was 61.08 ± 10.84 years, with a gender distribution of 57.1% male and 49.2% female. The average operation time was 154.07 ± 24.69 minutes, with a maximum of 220 minutes and a minimum of 105 minutes. The average time for intracorporeal anastomosis was 11.59 ± 4.45 minutes (with a maximum of 25 minutes and a minimum of 7 minutes). The number of staplers used in the operation was 6, accounting for 60.7%, while 39.3% used 5 staplers. There was no anastomotic bleeding, anastomotic leakage, or anastomotic stenosis. The incidence of bile reflux was 14.28%, the incidence of fistul pancreatic was 7.14%, lymphatic fluid 7.14%, Delay gastric emptying 0%. The postoperative complications were classified according to Clavien-Dindo as follows: grade I: 1 (17.28%), grades II, III, and IV were 0%. Conclusion: Billroth 1 (type INTACT) anastomosis technique after after totally laparoscopic distal gastrectomy with d2 lymphadenectomy for the treatment of adenocarcinoma of the lower stomach has brought positive results: safe, less complications, short time anastomosis