Safety and efficacy analysis of a highly biomimetic modified esophagogastric anastomosis in gastrointestinal reconstruc-tion of proximal gastrectomy
10.3969/j.issn.1009-9905.2024.09.005
- VernacularTitle:一种高度仿生的改良食管胃吻合术在近端胃切除消化道重建中的安全性及疗效分析
- Author:
Yu-Xuan YAN
1
;
Li-Tao TIAN
;
Ze-Xin WANG
;
Xi-Bin LI
;
Jin-Shen WANG
Author Information
1. 山东第一医科大学附属省立医院 胃肠外科(山东 济南 250021)
- Keywords:
Gastroesophageal junction adenocarcinoma;
Proximalgastrectomy;
Digestive tract reconstruction;
Gastroesophageal reflux
- From:
Chinese Journal of Current Advances in General Surgery
2024;27(9):694-698
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety and anti-reflux effect of a highly bionic modi-fied esophagogastric anastomosis in the reconstruction of the digestive tract after proximal gas-trectomy,with the aim of providing a safe and simple new option with good anti-reflux effect for the reconstruction of the digestive tract after proximal gastrectomy.Methods:In this retrospec-tive study,30 patients(Study group)who underwent modified esophagogastric anastomosis after proximal gastrectomy in the Department of Gastrointestinal Surgery of Shandong Provincial Hospi-tal Affiliated to Shandong First Medical University from January 2022 to September 2023 were compared with 27(Control group)patients who underwent double-tract reconstruction which is currently recognized as having good anti-reflux effect during the same period,the main compari-sons were made between the surgery-related indexes,the quality of life after the surgery,the postoperative complications,and the anti-reflux effect of the surgery.Results:The study group was significantly better than the control group in terms of operation time and postoperative hospi-talization time,with statistically significant differences(P＜0.05),and the difference between the two groups was comparable in terms of intraoperative bleeding and the anti-reflux effect of the opera-tion,with no statistically significant differences(P＞0.05);in terms of postoperative complications,the incidence of anastomotic fistula and intestinal obstruction was slightly lower in the study group compared with the control group,but in terms of total incidence,the difference was not statistically significant;in terms of quality of life,the difference was not statistically significant when comparing the quality of life of the two groups after treatment(P＜0.05).Conclusion:Highly bionic modified esophagogastric anastomosis is safe and feasible in the treatment of adenocarcinoma of the esophagogastric junction with excellent anti-reflux effect,but the procedure needs further high-quality randomized controlled studies and in-depth exploration.
