ĐÁNH GIÁ KẾT QUẢ CÁC PHƯƠNG PHÁP TÁI LẬP LƯU THÔNG TIÊU HÓA TRONG PHẪU THUẬT NỘI SOI HOÀN TOÀN CẮT DẠ DÀY ĐIỀU TRỊ UNG THƯ BIỂU MÔ TUYẾN DẠ DÀY TẠI BỆNH VIỆN K

Abstract

Objectives: To evaluate the feasibility, safety, and incidence of anastomotic inflammation and bile reflux associated with different digestive tract reconstruction methods   in   totally   laparoscopic   gastrectomy   for   gastric   adenocarcinoma. Methods: A retrospective, descriptive study was conducted on 147 patients with gastric adenocarcinoma who underwent laparoscopic gastrectomy with intracorporeal digestive tract reconstruction at Vietnam National Cancer Hospital between January 2020 and June 2025. Results: Delta-shaped and Finsterer anastomoses were mainly applied in early-stage tumors located in the antral region. Operative time and anastomosis time were significantly longer in the Roux-en-Y group (p < 0.001). The rates of anastomotic leakage and early postoperative complications were low. Bile reflux and anastomotic inflammation were lowest in the Roux-en-Y group and highest in the Finsterer group (p < 0.05). Conclusion: Total digestive tract reconstruction during laparoscopic gastrectomy is feasible and safe. The choice of reconstruction method should be individualized based on tumor location, disease stage, and the patient’s general condition.