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Proximal gastrectomy with gastric tube reconstruction or jejunal interposition reconstruction in upper-third gastric cancer: which offers better short-term surgical outcomes?
Li, Zhiguo; Ma, Yan; Liu, Guiting; Fang, Ming; Xue, Yingwei.
Afiliación
  • Li Z; Department of Gastroenterological Surgery, Harbin Medical University Cancer Hospital, Nangang District, No.150 Haping Rd, Harbin, 150081, China.
  • Ma Y; Department of Gastroenterological Surgery, Harbin Medical University Cancer Hospital, Nangang District, No.150 Haping Rd, Harbin, 150081, China.
  • Liu G; Department of Thoracic Surgery, Mudanjiang Medical College, Hongqi Hospital, Mudanjiang, 157011, China.
  • Fang M; Department of Oncology, Nenjiang People's Hospital, Nenjiang, China.
  • Xue Y; Department of Gastroenterological Surgery, Harbin Medical University Cancer Hospital, Nangang District, No.150 Haping Rd, Harbin, 150081, China. xueyingwei@hrbmu.edu.cn.
BMC Surg ; 21(1): 249, 2021 Jul 05.
Article en En | MEDLINE | ID: mdl-34218794
OBJECTIVE: Proximal gastrectomy acts as a function-preserving operation for upper-third gastric cancer. The aim of this study was to compare the short-term surgical outcomes between proximal gastrectomy with gastric tube reconstruction and proximal gastrectomy with jejunal interposition reconstruction in upper-third gastric cancer. METHODS: A retrospective review of 301 patients who underwent proximal gastrectomy with jejunal interposition (JI) or gastric tube (GT) at Harbin Medical University Cancer Hospital between June 2007 and December 2016 was performed. The Gastrointestinal Symptom Rating Scale (GSRS) and Visick grade were used to evaluate postgastrectomy syndromes. Gastrointestinal fiberoscopy was used to evaluate the prevalence and severity of reflux esophagitis based on the Los Angeles (LA) classification system. RESULTS: The JI group had a longer operation time than the GT group (220 ± 52 vs 182 ± 50 min), but no significant difference in blood loss was noted. Compared to the GT group, the Visick grade and GSRS score were significantly higher. Reflux esophagitis was significantly increased in the GT group compared with the JI group. CONCLUSION: Proximal gastrectomy is well tolerated with excellent short-term outcomes in patients with upper-third gastric cancer. Compared with GT construction, JI construction has clear functional advantages and may provide better quality of life for patients with upper-third gastric cancer.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas Tipo de estudio: Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: BMC Surg Año: 2021 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas Tipo de estudio: Observational_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: BMC Surg Año: 2021 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido