Four reconstruction methods after laparoscopic distal gastrectomy: A systematic review and network meta-analysis.

ABSTRACT:

Background

There is no consensus regarding which reconstruction methods are superior after laparoscopic distal gastrectomy (LDG). This study compared four reconstruction methods after LDG for gastric cancer.

Methods

Literature in EMBASE, PubMed, and the Cochrane Library was screened to compare Billroth I (B-I), Billroth II (B-II), Roux-en-Y (RY), and uncut Roux-en-Y (URY) anastomoses after LDG for gastric cancer. A Bayesian network meta-analysis (NMA) was conducted to compare these methods.

Results

Eighteen studies involving 4347 patients were eligible for our NMA. The operative time in RY anastomosis was longer than that in B-I and B-II anastomoses. Blood loss and risk of gastrointestinal motility dysfunction were greater with RY anastomosis than with URY or B-I anas

SUBMITTER: Ma Y 

PROVIDER: S-EPMC6940138 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature