Methods: Objective To explore the clinical efficacy of Billroth-Ⅱcombined with enterostomy on patients under-going laparoscopic-assisted gastrectomy for distant gastric cancer. Methods The clinical data of 120 patients who underwent laparoscopic-assisted gastrectomy for distant gastric cancer in a hospital in Liaoning Province from January 2018 to October 2019 were analyzed retrospectively. According to the techniques of digestive tract recon-struction

64 patients were treated with Billroth-Ⅱ combined with enterostomy

which were taken as the com-bined group. Another 56 patients with simple Billroth-Ⅱ were taken as the single group. The perioperative indi-cators

the recovery of gastrointestinal function

postoperative complications and the Visick grade of 6 months af-ter operation were compared between the two groups. Results There was no significant difference in operation time

digestive tract reconstruction time and intraoperative blood loss between the two groups（P>0.05）; but the postoperative length of stay in the combined group was significantly shorter than that in the single group（P<0.05）. There was no significant difference in bowel sound recovery time

anal exhaust time and liquid diet time between the two groups（P>0.05）. There was no significant difference in the incidence of intestinal ob-struction and postoperative infection between the two groups（P>0.05）; but the incidence of diarrhea

gastroe-sophageal reflux and gastroparesis in the combined group was lower than that in the single group; and the inci-dence of stomal ulcer in the combined group was higher than that in the single group; the differences were statis-tically significant（P<0.05）. Six months after operation

the Visick grade of the combined group was better than that of the single group

and the difference was statistically significant（Z=2.130

P<0.05）. Conclusion Compared with simple Billroth-Ⅱ

Billroth Ⅱ combined with enterostomy is more helpful to promote the recov-ery of gastrointestinal function and can reduce the incidence of postoperative complications in patients with gastric cancer

but stomal ulcer caused by anastomotic shunt should be noticed and prevented.