Objective. There have been surgical procedures to reconstruct the gastrointestinal continuity after distal gastrectomy. This study is aimed at comparing the surgical outcomes of reconstructing gastrointestinal continuity by the method of Finsterer and Roux-en-Y after distal gastrectomy due to cancer. Materials and methods. 86 patients, who underwent distal gastrectomy due to cancer, were divided into 2 groups for reconstructing gastrointestinal continuity from March 2014 to August 2018 at Viet Duc Hospital: group 1 (44 patients) by the Finsterer method and group 2 (42 patients) by the Roux-en-Y method. Results. The concentrations of bilirubin and amylase in gastric liquid after first flatus were 97.6 mmol/l and 20016 mmol/l for group 1 and 0.5 mmol/l and 152 mmol/l for group 2 (), respectively. The rate of reflux with clinical manifestations was 45.7% for group 1 and 9.4% for group 2 (). The average operation time was (90-200) minutes for group 1 and (120-215) minutes for group 2 (). The number of lymph nodes was (13-37) for group 1 and (12– 33) for group 2 (). There was 1 case of mesenteric bleeding in group 2 (2.4%). The dumping syndrome occurred in group 1 (20%) and group 2 (9.4%) (). Conclusion. The Finsterer and Roux-en-Y methods proved to be equally effective in their feasibility and safety. However, the Roux-en-Y method was better than the Finsterer method at limiting bile reflux and gastritis.

中文翻译：

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Finsterer 和 Roux-en-Y 胃癌远端胃切除术后重建手术结果的比较

目标。已经有外科手术来重建远端胃切除术后的胃肠道连续性。本研究旨在比较癌症远端胃切除术后采用 Finsterer 和 Roux-en-Y 方法重建胃肠道连续性的手术效果。材料和方法。2014 年 3 月至 2018 年 8 月在越德医院因癌症接受远端胃切除术的 86 例患者分为 2 组重建胃肠道连续性：Finsterer 法第 1 组（44 例），Finsterer 法第 2 组（42 例） Roux-en-Y 方法。结果. 第一次排气后胃液中胆红素和淀粉酶的浓度，第1组分别为97.6 mmol/l和20016 mmol/l，第2组为0.5 mmol/l和152 mmol/l。)，分别。有临床表现的反流率第 1 组为 45.7%，第 2 组为 9.4%（）。平均手术时间为 第 1 组和 (90-200) 分钟 第 2 组 (120-215) 分钟 (）。淋巴结数量为 (13-37) 对于第 1 组和 (12– 33) 对于第 2 组 (）。第2组有1例肠系膜出血（2.4%）。倾倒综合征发生在第 1 组（20%）和第 2 组（9.4%）（）。 结论。Finsterer 和 Roux-en-Y 方法被证明在可行性和安全性方面同样有效。然而，Roux-en-Y 方法在限制胆汁反流和胃炎方面优于 Finsterer 方法。