1. Medical School, Ningbo University； 2. Key Laboratory of Digestive System Tumor； 3. Department of Gastrointestinal and Hernia Surgery, Ningbo Huamei hospital, Chinese Academy of Sciences. Ningbo, Zhejiang 315010
Abstract:
［Abstract］ Objective The purpose of this study was to investigate the incidence, risk factors and management of DSL after laparoscopic radical gastrectomy for gastric cancer （GC）. Methods Relevant data were collected from Patient databases to retrospectively analyze the data of GC patients who underwent Billroth II （B-II） and Roux-en-Y （R-Y） reconstruction after laparoscopic gastrectomy at our institutions （HwaMei Hospital, University of Chinese Academy of Sciences）. The risk factors of DSL were analyzed by univariate and multivariate analysis regression. Results Finally, 421 patients were eligible for our analysis （174 patients with R-Y and 247 patients with B-II）. A total of 11 patients with DSL （1.43%） were observed. preoperative C-reactive protein （CRP）, and reinforcement of duodenal stump were the independent risk factors for DSL. The diagnosis time of DSL was 2~9 days, with a median of 3.5 days. Three patients received conservative treatment, three patients received puncture treatment. All patients recovered after treatment without death. Conclusion The risk factors of DSL were elevated preoperative CRP, and unreinforced duodenal stump. Non-surgical treatments were the preferred treatment for DSL.
