Application of modified double tracks anastomosis in patients with Siewert adenocarcinoma of the esophagogastric junction treated with radical gastrectomy
10.3760/cma.j.issn.1671-0274.2015.05.009
- VernacularTitle:改良空肠间置术在SiewertⅡ型和Ⅲ型食管胃结合部腺癌根治术中的应用
- Author:
Qun ZHAO
1
;
Yong LI
;
Peigang YANG
;
Bibo TAN
;
Liqiao FAN
;
Zhikai JIAO
;
Xuefeng ZHAO
;
Zhidong ZHANG
;
Dong WANG
;
Yu LIU
;
Yuan TIAN
Author Information
1. 河北医科大学第四医院外三科
- Keywords:
Adenocarcinoma of the esophagogastric junction;
Modified double tracks anastomosis;
Reflux;
Quality of life
- From:
Chinese Journal of Gastrointestinal Surgery
2015;(5):437-441
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of modified double tracks anastomosis in patients with type Siewert Ⅱ-Ⅲ adenocarcinoma of the esophagogastric junction (AEG) treated with radical gastrectomy. Methods Clinical data of 763 patients with type Siewert Ⅱ-Ⅲ AEG undergoing radical operation in our department from January 2004 to December 2008 were analyzed retrospectively. Patients were randomized into 3 groups according to the different procedures modes: radical proximal gastrectomy with modified double tracks anastomosis (266 cases), radical proximal gastrectomy with esophageal gastric stump end-to-side anastomosis (252 cases), and radical total gastrectomy with esophageal jejunum Roux-en-Y anastomosis(245 cases). There were no significant differences in general information and biological characteristics among the 3 groups (all P>0.05). Radical degree, safety, quality of life and prognosis were compared among 3 groups. Results There were no significant differences in postoperative complications among the three groups (P>0.05). Six months after operation, in modified double tracks anastomosis group, food intake recovery percentage was superior to the other two groups, and the Visick scores and endoscopic grading were better than esophageal gastric stump end-to-side anastomosis group (all P<0.05). There was no significant difference in recurrent rate of gastric stump between modified double tracks anastomosis group and esophageal gastric stump end-to-side anastomosis group (P>0.05). The 5-year overall survival rate of these 3 groups was 48.7%, 46.3%and 50.2% respectively, and no significant difference was found (all P>0.05). Conclusion Modified double tracks anastomosis is an ideal surgical method for type Ⅱ-Ⅲ AEG.
