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KMID : 0371320080740040261
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Journal of the Korean Surgical Society
2008 Volume.74 No. 4 p.261 ~ p.266
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Proximal Gastrectomy with Double Tract Reconstruction Using the Remnant Antrum in Early Upper Gastric Cancer
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Jung Hyuk-Jae
Kim Dae-Hwan
Kim Dong-Heon
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Abstract
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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. (J Korean Surg Soc 2008;74:261-266)
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KEYWORD
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Early gastric cancer, Proximal gastrectomy, Double tract
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