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. 2021 Mar 19;21(1):140.
doi: 10.1186/s12893-021-01153-y.

Laparoscopic proximal gastrectomy with double-tract reconstruction for upper third gastric cancer

Shuo-Meng Xiao  1   2 , Ping Zhao  2 , Zhi Ding  2 , Rui Xu  2 , Chao Yang  2 , Xiao-Ting Wu  3
Affiliations

Laparoscopic proximal gastrectomy with double-tract reconstruction for upper third gastric cancer

Shuo-Meng Xiao et al. BMC Surg. .

Abstract

Background: Proximal gastrectomy with double-tract reconstruction (DTR) has been used for upper third gastric cancer as a function-preserving procedure. However, the safety and feasibility of laparoscopic proximal gastrectomy (LPG) with DTR remain uncertain. This study compared open proximal gastrectomy (OPG) with DTR and LPG with DTR for proximal gastric cancer.

Methods: Sixty-four patients who had undergone OPG with DTR and forty-six patients who had undergone LPG with DTR were enrolled in this case-control study. The clinical characteristics, surgical outcomes and postoperative nutrition index were analysed retrospectively.

Results: The operation time was significantly longer in the LGP group than in the OPG group (258.3 min vs 205.8 min; p = 0.00). However, the time to first flatus and postoperative hospital stay were shorter in the LPG group [4.0 days vs 3.5 days (p = 0.00) and 10.6 days vs 9.2 days (p = 0.001), respectively]. No significant difference was found between the two groups in the number of retrieved lymph nodes, complications or reflux oesophagitis. The nutrition status was assessed using the haemoglobin, albumin, prealbumin and weight levels from pre-operation to six months after surgery. No significant difference was found between the groups.

Conclusion: LPG with DTR can be safely performed for proximal gastric cancer patients by experienced surgeons.

Keywords: Double-tract reconstruction; Feasibility; Gastric cancer; Laparoscopy proximal gastrectomy; Open proximal gastrectomy; Safety.

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Conflict of interest statement

All authors declare they have no competing interests.

Figures

Fig. 1
Fig. 1
Proximal gastrectomy with DTR
Fig. 2
Fig. 2
Comparison of the nutrition indexes between OPG with DTR and LPG with DTR. OPG: open proximal gastrectomy; LPG: laparoscopic proximal gastrectomy; 1 M: 1 month after surgery; 6 M: 6 months after surgery
See this image and copyright information in PMC

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