Clinical Outcomes and Evaluation of Laparoscopic Proximal Gastrectomy with Double-Flap Technique for Early Gastric Cancer in the Upper Third of the Stomach

Background A novel double-flap esophagogastrostomy technique developed to prevent reflux after proximal gastrectomy was applied to laparoscopic proximal gastrectomy (LPG), and the clinical outcomes of this technique (LPG-DFT) were evaluated and compared to those of laparoscopic total gastrectomy (LT...

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Bibliographic Details
Published in:Annals of surgical oncology 2017-06, Vol.24 (6), p.1635-1642
Main Authors: Hayami, Masaru, Hiki, Naoki, Nunobe, Souya, Mine, Shinji, Ohashi, Manabu, Kumagai, Koshi, Ida, Satoshi, Watanabe, Masayuki, Sano, Takeshi, Yamaguchi, Toshiharu
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Anastomosis, Surgical
Body mass
Body mass index
Clinical outcomes
Esophagitis
Female
Follow-Up Studies
Gastrectomy
Gastrectomy - methods
Gastric cancer
Gastrointestinal Oncology
Hemoglobin
Humans
Laparoscopy
Laparoscopy - methods
Length of Stay
Male
Medicine
Medicine & Public Health
Middle Aged
Morbidity
Nutritional status
Oncology
Postoperative Complications
Prognosis
Reconstructive Surgical Procedures
Retrospective Studies
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Surgery
Surgical Flaps
Surgical Oncology
Upper Gastrointestinal Tract - pathology
Upper Gastrointestinal Tract - surgery
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Summary:Background A novel double-flap esophagogastrostomy technique developed to prevent reflux after proximal gastrectomy was applied to laparoscopic proximal gastrectomy (LPG), and the clinical outcomes of this technique (LPG-DFT) were evaluated and compared to those of laparoscopic total gastrectomy (LTG). Methods This retrospective study of 90 patients with early gastric cancer (EGC) in the upper third of the stomach compared surgical outcomes, postoperative endoscopic findings, and nutritional status between two procedure groups, LPG-DFT ( n  = 43) and LTG ( n  = 47). The association between morbidity and surgical procedure was analyzed by controlling for body mass index (BMI). Results Mean operation time was significantly higher for LPG-DFT than LTG (386.5 vs. 316.3 min, P  
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-017-5782-x