title: [Application study of totally laparoscopic distal gastrectomy with delta-shaped anastomosis].
abstract: OBJECTIVE
  To compare the short-term efficacy between totally laparoscopic distal gastrectomy(TLDG) with delta-shaped anastomosis (DS) and laparoscopic-assisted distal gastrectomy (LADG) with BrillrothI ( anastomosis (BI(), and to evaluate the application of DS.
  
  
  METHODS
  Between March 2013 and February 2014, 50 patients underwent TLDG with DS using linear staplers, and 43 patients underwent LADG with BI( using circular staplers. Clinical features and short-term efficacy of the two groups were analyzed retrospectively.
  
  
  RESULTS
  There were no significant differences between the two groups in terms of demographic indicators, operation time, intraoperative blood loss, number of removal lymph node, time to first flatus, incidence of complication and postoperative discharge day(all P>0.05). First-day postoperative pain was milder (3.1 ± 1.0 vs. 4.6 ± 1.4), and operative incision was shorter [(3.4 ± 0.4) cm vs. (6.9 ± 0.8) cm] significantly in TLDG with DS group(P<0.05).
  
  
  CONCLUSIONS
  TLDG with DS is safe and feasible for patients with gastric cancer, and has more advantages in cosmetic and comfort level than LADG with BI.
authors.affiliation: Department of General Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an 710038, China. wanghe@fmmu.edu.cn.
authors.forename: Nan
authors.initials: N
authors.lastname: Wang
authors.forename: Qing
authors.initials: Q
authors.lastname: Qiao
authors.forename: Tao
authors.initials: T
authors.lastname: Wu
authors.forename: Guoqiang
authors.initials: G
authors.lastname: Bao
authors.forename: Bobo
authors.initials: B
authors.lastname: Zheng
authors.forename: Shuai
authors.initials: S
authors.lastname: Zhou
authors.forename: Bo
authors.initials: B
authors.lastname: Zhang
authors.forename: Ying
authors.initials: Y
authors.lastname: Yang
authors.forename: Shuang
authors.initials: S
authors.lastname: Xie
authors.forename: Xianli
authors.initials: X
authors.lastname: He
mesh_terms: D000714:Anastomosis, Surgical; D005743:Gastrectomy; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D061646:Operative Time; D011184:Postoperative Period; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery*; D013274:Stomach Neoplasms