Details

Autor(en) / Beteiligte

• Rosa, Fausto
• Quero, Giuseppe
• Fiorillo, Claudio
• Doglietto, Giovanni Battista
• Alfieri, Sergio

Titel

Billroth II reconstruction in gastric cancer surgery: A good option for Western patients

Ist Teil von

• The American journal of surgery, 2019-11, Vol.218 (5), p.940-945

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2019

Quelle

MEDLINE

Beschreibungen/Notizen

• The aim of this study is to report the short and long-term results of a cohort of patients who underwent Billroth II (BII) Distal Gastrectomy (DG) for gastric cancer (GC), in a tertiary referral Western center. From January 2005 to December 2015, a prospective observational study was conducted in candidate patients to elective gastrectomy for cancer. Among 514 patients observed with GC, a series of 258 patients underwent BII DG for middle/lower third GC. Postoperative mortality and complication rates were 1.5% and 12.4% respectively. The overall and disease-free 5-year survival rates were 78% and 69%, respectively. Young age, lymph nodes retrieved, radicality of resection, and early tumor stages were independent positive prognostic factors at multivariate analysis for 5-year overall survival. Abdominal complications and advanced tumor stages negatively influenced 5-year disease-free survival at multivariate analysis. BII provides excellent results in terms of short and long-term prognosis and should be regarded as an acceptable reconstructive option following DG for GC. •The reconstruction technique after subtotal distal gastrectomy for gastric cancer remains controversial.•Technical and functional advantages and disadvanteages characterize each of the most used techniques.•BII reconstruction provides excellent results in terms of short and long-term prognosis.