title: [Comparison of long-term survival and postoperative complications between Billroth I( and II( reconstruction in patients with distal gastric cancer].
abstract: OBJECTIVE
  To compare the long-term survival and postoperative complications of distal gastric cancer patients between Billroth I((BI() and Billroth II((BII() reconstruction.
  
  
  METHODS
  Clinicopathological data of 992 patients with distal gastric cancer who underwent D2 curative gastrectomy in our department from May 2008 to April 2015 were recorded, including 207 patients of BI( reconstruction and 785 of BII( reconstruction, were retrospectively analyzed. Patients presenting a previous history of cancer, gastric resection or cytotoxic chemotherapy, and those presenting liver or intraperitoneal tumor dissemination or unresectable infiltration into contiguous organs were excluded. Patients in BI( and BII( group were selected using gmatch methods based on age (±10 years), gender, tumor size (±1 cm), differentiated degree and depth of invasion in order to reduce the selection bias of clinicopathological characteristics. The final number of patients matched was 191 respectively.
  
  
  RESULTS
  Compared with BII( group, the BI( group had a significantly shorter operation time (181.7 min vs. 220.7 min, P=0.000) and a shorter postoperative hospitalization stay (7.6 days vs. 8.1 days, P=0.046). The postoperative complications including anastomotic leakage, wound dehiscence, wound infection, intraperitoneal hemorrhage, intestinal obstruction, duodenal stump fistula, pulmonary infection and fever had no significant difference(P>0.05). Three-year survival between two groups was comparable (82.9% vs. 78.7%, P=0.379).
  
  
  CONCLUSIONS
  Compared with BII(, BI( reconstruction is more suitable for patients with distal gastric cancer.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Liu
authors.forename: Shushang
authors.initials: S
authors.lastname: Liu
authors.forename: Guanghui
authors.initials: G
authors.lastname: Xu
authors.forename: Fan
authors.initials: F
authors.lastname: Feng
authors.forename: Man
authors.initials: M
authors.lastname: Guo
authors.forename: Xiao
authors.initials: X
authors.lastname: Lian
authors.forename: Chao
authors.initials: C
authors.lastname: Nai
authors.forename: Xuewen
authors.initials: X
authors.lastname: Yang
authors.forename: Jinqiang
authors.initials: J
authors.lastname: Liu
authors.forename: Gaozan
authors.initials: G
authors.lastname: Zheng
authors.affiliation: Department One of Digestive Diseases, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China. zhanghw@fmmu.edu.cn.
authors.forename: Hongwei
authors.initials: H
authors.lastname: Zhang
mesh_terms: D005743:Gastrectomy; D005763:Gastroenterostomy; D006801:Humans; D011183:Postoperative Complications; D011184:Postoperative Period; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*