Comparing Quality of Life for Billroth II With Braun Versus Uncut Roux-en-Y Reconstruction After Total Laparoscopic Distal Gastrectomy for Gastric Cancer: A Randomized Clinical Trial.

ABSTRACT: IntroductionThe decline in mortality and increase in cure rates following distal gastrectomy have led to a growing focus on patient quality of life (QoL). This study aims to compare QoL outcomes between uncut Roux-en-Y (URY) and Billroth-II with Braun anastomosis (BIIB) reconstructions after totally laparoscopic distal gastrectomy (TLDG), and to identify the preferred surgical approach.Materials and MethodsFrom May 2017 to May 2019, a prospective randomized controlled trial (RCT) enrolled 101 gastric cancer patients undergoing TLDG, who were randomly allocated to either URY or BIIB reconstruction. The primary endpoint evaluated the superiority of URY in postoperative QoL at 24 months, as quantified by composite scores from the validated QLQ-C30 version 3.0 and QLQ-STO22 instruments.Results

SUBMITTER: Li X 

PROVIDER: S-EPMC12495203 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature