PDF(Pubmed)
Abstract：
OBJECTIVE: The optimal reconstruction method for laparoscopic proximal gastrectomy (LPG) remains controversial. The present study aimed to compare short-term outcomes, including assessment of nutritional parameters and skeletal muscle, between two different methods, double-tract reconstruction (DTR) versus esophagogastrostomy (EG).
METHODS: Data from patients who underwent LPG for gastric tumor(s) between 2018 and 2021, were retrospectively analyzed. Patients were divided into two group: DTR (n=11) and EG (n=17). Since 2020, the authors have applied the modified side overlap with fundoplication by Yamashita (mSOFY) method as the EG technique.
RESULTS: Compared with DTR, EG was associated with a shorter reconstruction time (p=0.003). Complications of grade ≥3 occurred only in the EG group [n=4 (23.5%)] and the incidence of abnormal endoscopic findings after surgery was numerically higher in the EG group (n=2 vs. n=9; p=0.047). Across virtually all data points on the line graph, the EG group exhibited greater changes in post-discharge nutritional parameters, with Skeletal Muscle Index also demonstrating significant superiority (0.83 vs. 0.89; p=0.045).
CONCLUSIONS: Among reconstruction methods for LPG, EG demonstrated superiority over DTR in preserving nutritional parameters and skeletal muscle mass. However, further research, including larger cohorts and longer-term follow-up, is necessary to validate this finding.
METHODS: Data from patients who underwent LPG for gastric tumor(s) between 2018 and 2021, were retrospectively analyzed. Patients were divided into two group: DTR (n=11) and EG (n=17). Since 2020, the authors have applied the modified side overlap with fundoplication by Yamashita (mSOFY) method as the EG technique.
RESULTS: Compared with DTR, EG was associated with a shorter reconstruction time (p=0.003). Complications of grade ≥3 occurred only in the EG group [n=4 (23.5%)] and the incidence of abnormal endoscopic findings after surgery was numerically higher in the EG group (n=2 vs. n=9; p=0.047). Across virtually all data points on the line graph, the EG group exhibited greater changes in post-discharge nutritional parameters, with Skeletal Muscle Index also demonstrating significant superiority (0.83 vs. 0.89; p=0.045).
CONCLUSIONS: Among reconstruction methods for LPG, EG demonstrated superiority over DTR in preserving nutritional parameters and skeletal muscle mass. However, further research, including larger cohorts and longer-term follow-up, is necessary to validate this finding.
摘要：
目的：腹腔镜近端胃切除术（LPG）的最佳重建方法仍存在争议。本研究旨在比较短期结果，包括营养参数和骨骼肌的评估，在两种不同的方法之间，双道重建术（DTR）与食管胃吻合术（EG）。
方法：回顾性分析了2018年至2021年期间接受LPG治疗胃肿瘤患者的数据。将患者分为两组：DTR（n=11）和EG（n=17）。自2020年以来，作者通过Yamashita（mSOFY）方法将改良的侧重叠与胃底折叠术作为EG技术。
结果：与DTR相比，EG与较短的重建时间相关(p=0.003)。仅EG组发生≥3级并发症[n=4（23.5％）]，EG组术后内镜检查结果异常的发生率在数值上较高（n=2vs.n=9;p=0.047)。在线图上几乎所有的数据点上，EG组出院后营养参数变化较大，骨骼肌指数也显示出显著的优越性(0.83vs.0.89；p=0.045）。
结论：在液化石油气的重建方法中，EG在保持营养参数和骨骼肌质量方面优于DTR。然而,进一步研究,包括更大的队列和更长期的随访，是必要的，以验证这一发现。
方法：回顾性分析了2018年至2021年期间接受LPG治疗胃肿瘤患者的数据。将患者分为两组：DTR（n=11）和EG（n=17）。自2020年以来，作者通过Yamashita（mSOFY）方法将改良的侧重叠与胃底折叠术作为EG技术。
结果：与DTR相比，EG与较短的重建时间相关(p=0.003)。仅EG组发生≥3级并发症[n=4（23.5％）]，EG组术后内镜检查结果异常的发生率在数值上较高（n=2vs.n=9;p=0.047)。在线图上几乎所有的数据点上，EG组出院后营养参数变化较大，骨骼肌指数也显示出显著的优越性(0.83vs.0.89；p=0.045）。
结论：在液化石油气的重建方法中，EG在保持营养参数和骨骼肌质量方面优于DTR。然而,进一步研究,包括更大的队列和更长期的随访，是必要的，以验证这一发现。
