ĐÁNH GIÁ KẾT QUẢ THỰC HIỆN MIỆNG NỐI BILLROTH 1 KIỂU INTACT TRONG PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT BÁN PHẦN CỰC DƯỚI DẠ DÀY NẠO VÉT HẠCH D2 ĐIỀU TRỊ UNG THƯ BIỂU MÔ TUYẾN DẠ DÀY

Abstract

Objectives: To evaluate the early results of the Billroth 1 Intact anastomosis technique in totally laparoscopic distal gastrectomy with D2 lymph node dissection at Hanoi Medical University Hospital. Methods: A prospective descriptive study was conducted on 42 patients who underwent totally laparoscopic distal gastrectomy with D2 lymphadenectomy and intracorporeal Billroth 1 Intact anastomosis for gastric adenocarcinoma from April 2023 to February 2025 at Hanoi Medical University Hospital. Results: The average age of the study group was 63.57 ± 8.8 years, with an equal gender distribution (50% male, 50% female). The mean operative time was 152.89 ± 24.29 minutes (ranging from 105 to 220 minutes). The mean time for intracorporeal anastomosis was 9.79 ± 2.57 minutes (ranging from 7 to 25 minutes). The average number of staplers used per operation was 5.05 ± 0.23. Postoperative complications included a bile reflux rate of 7.14%, pancreatic fistula rate of 4.8%, and lymphatic leakage rate of 4.8%. There were no cases of anastomotic leakage, anastomotic bleeding, anastomotic stenosis, delayed gastric emptying (DGE), or Clavien-Dindo grade II-IV complications. Gastroesophageal reflux disease (GERD) was observed in 16.6% of patients, and the average postoperative weight gain was 1.7 ± 1.489 kg. Clavien-Dindo grade I complications were recorded in 11.9% of cases. Conclusion: The Billroth 1 Intact anastomosis technique following totally laparoscopic distal gastrectomy with D2 lymphadenectomy has demonstrated favorable outcomes, offering a safe and effective method with no major complications and a short anastomosis time.