Patients
tumors, unstable angina, primary gastric cancer
MYOCARDIAL INFARCTION, PYLORIC OBSTRUCTION, TUMORS, UNSTABLE ANGINA, MALIGNANT TUMORS, EVENTS, PATHOLOGY, DISEASES
From June 2018 to December 2021, 140 adult patients who were scheduled to undergo laparoscopy-assisted distal gastrectomy (LADG) with D2 lymphadenectomy were recruited from Shanghai Tongji Hospital and Ningbo Hwa Mei Hospital. Twenty-three patients were excluded based on the exclusion criteria. The 117 included patients were randomly assigned (1:1) into two groups. Fifty-nine patients underwent Uncut Roux-en-Y surgery in the study group (URY group), and 58 patients underwent traditional Roux-en-Y surgery in the control group (RY group). During the postoperative follow-up, two patients died after discharge in the URY group, and 7 patients were lost to follow-up in the RY group. Ultimately, 57 patients were included in the URY group, and 51 patients were included in the RY group. All surgeons had surgical experience with at least 100 LADG surgeries.The inclusion criteria were as follows: (1) patients aged ≥ 18 years; (2) patients with endoscopic biopsy and pathology reports confirming primary gastric cancer; (3) patients with stage I-III clinical tumors; (4) patients with ECOG scores of 0–1; and (5) patients with American Society of Anesthesiologists (ASA) grade I—III tumors. The exclusion criteria were as follows: (1) unstable angina, myocardial infarction, or cerebrovascular events within the past 6 months; (2) various serious mental diseases; (3) emergency surgery or pyloric obstruction; (4) previous history of upper abdominal surgery; (5) neoadjuvant chemoradiotherapy before surgery; and (6) other malignant tumors. The scheme of the study process is shown in Fig. Consort diagram for the study