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Esophagogastrostomy Versus Double Tract Reconstruction for Laparoscopic Proximal Gastrectomy: Short-term Outcomes Based on Nutritional Parameters and Skeletal Muscle Index.
- Source :
-
In vivo (Athens, Greece) [In Vivo] 2024 May-Jun; Vol. 38 (3), pp. 1325-1331. - Publication Year :
- 2024
-
Abstract
- Background/aim: 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).<br />Patients and 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.<br />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).<br />Conclusion: 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.<br /> (Copyright © 2024, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.)
- Subjects :
- Humans
Male
Female
Middle Aged
Aged
Treatment Outcome
Retrospective Studies
Nutritional Status
Postoperative Complications epidemiology
Postoperative Complications etiology
Gastrectomy methods
Gastrectomy adverse effects
Laparoscopy methods
Laparoscopy adverse effects
Muscle, Skeletal surgery
Plastic Surgery Procedures methods
Plastic Surgery Procedures adverse effects
Stomach Neoplasms surgery
Stomach Neoplasms pathology
Gastrostomy methods
Gastrostomy adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1791-7549
- Volume :
- 38
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- In vivo (Athens, Greece)
- Publication Type :
- Academic Journal
- Accession number :
- 38688630
- Full Text :
- https://doi.org/10.21873/invivo.13572