Background. Although Billroth II (BII) reconstruction is simpler and faster than Billroth I or Roux-en-Y (RY) reconstruction in\npatients undergoing totally laparoscopic distal gastrectomy (TLDG), BII reconstruction is associated with several complications,\nincluding more severe bile reflux. BII Braun anastomosis may be a better alternative to RY reconstruction. Methods. This\nretrospective study included 56 consecutive patients who underwent TLDG for gastric cancer, followed by BII Braun or RY\nreconstruction, between January 2013 and December 2015. Surgical outcomes, including length of operation, quantity of blood\nlost, and postoperative complications, were compared in the two groups. Results. Clinicopathological characteristics did not differ\nbetween the BII Braun and RY groups. Mean length of operation was significantly longer in the RY than the BII Braun group\n(157.3 min versus 134.6 min, p < 0.010), but length of hospital stay, blood loss, and complication rate did not differ between the two\ngroups. Ileus occurred in three patients (10.0%) in the RY group. Endoscopic findings 6 months after surgery showed bile reflux\nin seven (28%) patients in the BII Braun group and five (17.2%) in the RY group (p = 0.343), but no significant differences in rate\nof gastric residue or degree of gastritis in the remnant stomach in the two groups. Conclusions. B-II Braun anastomosis is a good\nalternative to RY reconstruction, reducing length of operation and ileus after TLDG.
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