title: Comparison of early-term effects between totally laparoscopic distal gastrectomy with delta-shaped anastomosis and conventional laparoscopic-assisted distal gastrectomy: a retrospective study.
abstract: OBJECTIVE
  To compare early-term effects of totally laparoscopic distal gastrectomy with delta-shaped anastomosis (D-STLDG) with conventional laparoscopic-assisted distal gastrectomy (LADG).
  
  
  METHODS
  Clinical data of 24 patients who received D-STLDG from April 2013 to April 2014, and 45 patients who received LADG from March 2010 to December 2012 were retrospectively analyzed. The operative time, intra-operative blood loss, post-operative recovery time of intestinal function, post-operative pain, the length of post-operative hospital stay and the incidence of post-operative complications (infection, obstruction and delayed gastric emptying) were compared between the two groups.
  
  
  RESULTS
  All procedures were completed successfully and all patients of both groups were discharged smoothly from hospital. Compared with LADG, D-STLDG had shorter operative time (175.3±64.7 min vs. 205.8±42.2 min, P<0.05), less intra-operative blood (50.8±25.3 ml vs. 75.2±22.5 ml, P<0.05), shorter post-operative recovery time of intestinal function (1.2±0.5 d vs. 2.1±0.8 d, P<0.05), less post-operative pain (5.6±0.7 vs. 7.8±0.5, P<0.05), shorter post-operative hospital stay (8.5±2.2 d vs. 10.5±3.5 d, P<0.05). There were no significant difference in surgical margins achieved, the number of lymph nodes retrieved or the incidence of post-operative complications (infection, obstruction and delayed gastric emptying) (P>0.05).
  
  
  CONCLUSIONS
  The delta-shaped anastomosis of reconstructing the digestive tract in TLDG appears to be safe, feasible and associated to faster recovery.
authors: Department of General Surgery, Zhangjiagang Hospital Affiliated to Soochow University Zhangjiagang 215600, Jiangsu Province, P. R. China.
authors: Bo
authors: B
authors: Zhang
authors: Department of General Surgery, Zhangjiagang Hospital Affiliated to Soochow University Zhangjiagang 215600, Jiangsu Province, P. R. China.
authors: Jian-Cheng
authors: JC
authors: Tu
authors: Department of General Surgery, Zhangjiagang Hospital Affiliated to Soochow University Zhangjiagang 215600, Jiangsu Province, P. R. China.
authors: Jian
authors: J
authors: Fang
authors: Department of General Surgery, Zhangjiagang Hospital Affiliated to Soochow University Zhangjiagang 215600, Jiangsu Province, P. R. China.
authors: Liang
authors: L
authors: Zhou
authors: Department of General Surgery, Huai'an First People's Hospital, Nanjing Medical University Huai'an 223300, Jiangsu Province, P. R. China.
authors: Ye-Lu
authors: YL
authors: Liu
keywords: Surgery; delta-shaped anastomosis; gastric cancer; laparoscope