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

Completed

• Conditions: the Incidences of Clavien-Dindo Grade II or Higher; Anastomotic Time
• Interventions: Procedure: R anastomosis

• Registration Number: NCT06404580
• Lead Sponsor: Daorong Wang

Brief 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.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-03-01
• Primary Completion: 2022-09-01
• Study Completion: 2023-01-01
• Status Verified: 2024-05
• Study First Submitted: 2024-05-05
• Study First Submitted QC: 2024-05-05
• Last Update Submitted: 2024-05-05
• Study First Posted: 2024-05-08
• Last Update Posted: 2024-05-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 246

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.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
R anastomosis	R anastomosis	-
B-II-B anastomosis	R anastomosis	-

Primary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Northern Jiangsu People's Hospital; 🇨🇳 Yangzhou, Jiangsu, China