Proximal Gastrectomy with Double Tract Reconstruction Using the Remnant Antrum in Early Upper Gastric Cancer.
- Author:
Hyuk Jae JUNG
1
;
Dae Hwan KIM
;
Dong Heon KIM
Author Information
1. Department of Surgery, School of Medicine, Pusan National University, Busan, Korea. kdhun@pusan.ac.kr
- Publication Type:Original Article
- Keywords:
Early gastric cancer;
Proximal gastrectomy;
Double tract
- MeSH:
Calcium;
Esophagitis, Peptic;
Gastrectomy;
Humans;
Iron;
Length of Stay;
Nutritional Status;
Postoperative Complications;
Recurrence;
Retrospective Studies;
Stomach Neoplasms
- From:Journal of the Korean Surgical Society
2008;74(4):261-266
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study is to evaluate the safety and feasibility of a proximal gastrectomy with a double tract reconstruction using remnant antrum in patients with early upper gastric cancer. METHODS: Between July 2003 and June 2005, we analyzed 45 patients with early upper gastric cancer, with 19 patients receiving a proximal gastrectomy with double tract reconstruction using the remnant antrum (Group A) and 26 receiving a total gastrectomy with a Roux-en Y anastomosis(Group B). We retrospectively analyzed the clinical characteristics (age, sex, operation time, duration of postoperative hospital stay, duration of follow-up), pathologic characteristics, postoperative nutritional status, complications, and recurrence rates between the two groups. RESULTS: There were no significant differences in the clinical characteristics of the two groups. However, the operation time of group A was significantly longer than group B. The total protein and albumin levels at 3 months, the serum iron and calcium levels by 6 months, and BMI at 3 and 6 months were significantly higher in group A than group B. There were no significant differences of postoperative complications between the two groups. However, the rate and degree of reflux esophagitis in group A were significantly lower than group B. CONCLUSION: Proximal gastrectomy with double tract reconstruction using the remnant antrum is a safe, feasible, function-preserving surgery for early upper gastric cancer.
