A Modified Billroth-II with Braun Anastomosis in Totally Laparoscopic Distal Gastrectomy: Initial Experience Compared with Roux-en-Y Anastomosis

Comparison of Billroth II with Braun and Roux‐en‐Y reconstructions after distal gastrectomy for gastric cancer: A meta‐analysis

“…Among the two studies reporting anastomosis time 18,20 anastomosis time was lower in the BB group (WMD, −8.65 min; 95% CI, −9.20 to −8.10; p < 0.00001; Figure 2B). Eight studies [14][15][16][17][18][19][20][21] reported intraoperative blood loss and the meta-analysis revealed the value was similar in the two groups (WMD, −13.44 mL; 95% CI, −28.67 to 1.78; p = 0.08; Figure 2C). The number of harvested lymph nodes was reported in seven studies [15][16][17][18][19][20][21] and was similar between the two groups (WMD, 0.50; 95% CI, −1.71 to 2.71; p = 0.66; Figure 2D).…”

“…Of these, three papers did not meet the criteria and were excluded. Finally, one randomized controlled trial (RCT) 14 and seven nonrandomized observational clinical studies (OCS) [15][16][17][18][19][20][21] with a total of 910 patients were considered for the meta-analysis (Figure 1). The population characteristics of each study are shown in Table 1.…”

“…Studies were conducted in South Korea (four studies) [14][15][16][17] and China (four studies). [18][19][20][21] Quality scores of each included article were between 6 and 9, indicating sufficient study quality (Table 1).…”

“…To compare the feasibility of BB and RY, perioperative outcomes including operation time, anastomosis time, intraoperative blood loss, harvested lymph nodes, length of hospital stay, and time to first flatus or defecation were evaluated (Table 2). Eight studies [14][15][16][17][18][19][20][21] reported operation time and the metaanalysis showed operation time was lower in the BB group (weighted mean difference [WMD], −21.06 min; 95% confidence interval [CI], −31.50 to −10.63; p < 0.0001; Figure 2A). Among the two studies reporting anastomosis time 18,20 anastomosis time was lower in the BB group (WMD, −8.65 min; 95% CI, −9.20 to −8.10; p < 0.00001; Figure 2B).…”

“…Eight studies [14][15][16][17][18][19][20][21] reported operation time and the metaanalysis showed operation time was lower in the BB group (weighted mean difference [WMD], −21.06 min; 95% confidence interval [CI], −31.50 to −10.63; p < 0.0001; Figure 2A). Among the two studies reporting anastomosis time 18,20 anastomosis time was lower in the BB group (WMD, −8.65 min; 95% CI, −9.20 to −8.10; p < 0.00001; Figure 2B). Eight studies [14][15][16][17][18][19][20][21] reported intraoperative blood loss and the meta-analysis revealed the value was similar in the two groups (WMD, −13.44 mL; 95% CI, −28.67 to 1.78; p = 0.08; Figure 2C).…”