Research progress of digestive tract reconstruction after proximal gastrectomy

doi:10.3877/cma.j.issn.1674-3946.2023.04.027

Abstract

Abstract:

At present，radical total gastrectomy is still the main treatment method for esophagogastric junction adenocarcinoma（AEG）. However，due to the low rate of distal lymph node metastasis in early AEG，total gastrectomy without any choice may lead to unnecessary lymph node dissection in some patients，increase surgical trauma，and seriously affect the postoperative quality of life of patients. Therefore，how early AEG can minimize surgical trauma，preserve part of gastric function and improve patients’quality of life on the premise of ensuring the radical treatment of tumors has gradually become the focus of scholars. In recent years，more and more scholars at home and abroad recommend proximal gastrectomy，which has the advantages of better postoperative quality of life，and the disadvantages of higher gastroesophageal reflux and anastomotic stenosis rate. Therefore，in order to improve this deficiency，Many new anastomotic methods，including Side-overlap，double muscle flap anastomosis，jejunal interposition and double channel anastomosis，emerged. However，there is no consensus or guideline on how to choose the best proximal gastro-digestive reconstruction. Therefore，this article reviews the progress of digestive tract reconstruction after proximal gastrectomy，hoping to provide reference for the selection of the best anastomotic method.

Key words: Stomach Neoplasms, Esophagogastric Junction, Esophagitis，Peptic, Gastrectomy, Digestive Tract Reconstruction

Yong Huang, Zhi Zheng, Haiqiao Zhang, Long Wang, Chenglin Xin, Xiaoye Liu, Jie Yin, Jun Zhang. Research progress of digestive tract reconstruction after proximal gastrectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 456-460.

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References 31

[1]	Wang FH，Shen L，Li J，et al. The Chinese Society of Clinical Oncology（CSCO）：clinical guidelines for the diagnosis and treatment of gastric cancer［J］. Cancer Commun（Lond），2019，39（1）：10.
[2]	Takiguchi N，Takahashi M，Ikeda M，et al. Long-term quality-of-life comparison of total gastrectomy and proximal gastrectomy by postgastrectomy syndrome assessment scale（PGSAS-45）：a nationwide multi-institutional study［J］. Gastric Cancer，2015，18（2）：407-416.
[3]	Sakuramoto S，Yamashita K，Kikuchi S，et al. Clinical experience of laparoscopy-assisted proximal gastrectomy with Toupet-like partial fundoplication in early gastric cancer for preventing reflux esophagitis［J］. J Am Coll Surg，2009，209（3）：344-351.
[4]	Nakamura M，Nakamori M，Ojima T，et al. Reconstruction after proximal gastrectomy for early gastric cancer in the upper third of the stomach：an analysis of our 13-year experience［J］. Surgery，2014，156（1）：57-63.
[5]	Nakamura M，Yamaue H. Reconstruction after proximal gastrectomy for gastric cancer in the upper third of the stomach：a review of the literature published from 2000 to 2014［J］. Surg Today，2016，46（5）：517-527.
[6]	Chen XF，Zhang B，Chen ZX，et al. Gastric tube reconstruction reduces postoperative gastroesophageal reflux in adenocarcinoma of esophagogastric junction［J］. Dig Dis Sci，2012，57（3）：738-745.
[7]	Ronellenfitsch U，Najmeh S，Andalib A，et al. Functional outcomes and quality of life after proximal gastrectomy with esophagogastrostomy using a narrow gastric conduit［J］. Ann Surg Oncol，2015，22（3）：772-779.
[8]	沈朝勇，陈海宁，张波，等. 管状胃吻合对食管胃结合部腺癌患者术后生活质量的影响［J］. 四川大学学报（医学版），2014，45（04）：717-719，723.
[9]	Hosogi H，Yoshimura F，Yamaura T，et al. Esophagogastric tube reconstruction with stapled pseudo-fornix in laparoscopic proximal gastrectomy：a novel technique proposed for Siewert type II tumors［J］. Langenbecks Arch Surg，2014，399（4）：517-523.
[10]	程向东，徐志远，杜义安，等. 食管-胃"程氏Giraffe重建术"在食管胃结合部腺癌近端胃切除后消化道重建患者中应用的初步疗效分析［J］. 中华胃肠外科杂志，2020，23（02）：158-162.
[11]	李东亮，王伟，周家杰，等. 自带抗反流装置管型胃在SiewertⅡ型和Ⅲ型食管胃结合部腺癌中临床疗效分析［J/CD］. 中华普外科手术学杂志（电子版），2021，15（02）：157-161.
[12]	Yamashita Y，Yamamoto A，Tamamori Y，et al. Side overlap esophagogastrostomy to prevent reflux after proximal gastrectomy［J］. Gastric Cancer，2017，20（4）：728-735.
[13]	Yamashita Y，Tatsubayashi T，Okumura K，et al. Modified side overlap esophagogastrostomy after laparoscopic proximal gastrectomy［J］. Ann Gastroenterol Surg，2022，6（4）：594-599.
[14]	李沣员，徐皓，汪未知，等. Side－overlap吻合术应用于腹腔镜近端胃癌切除的初步体会［J］. 中华外科杂志，2018，56（08）：623-625.
[15]	Kuroda S，Nishizaki M，Kikuchi S，et al. Double-Flap Technique as an Antireflux Procedure in Esophagogastrostomy after Proximal Gastrectomy［J］. J Am Coll Surg，2016，223（2）：e7-e13.
[16]	Muraoka A，Kobayashi M，Kokudo Y. Laparoscopy-Assisted Proximal Gastrectomy with the Hinged Double Flap Method［J］. World J Surg，2016，40（10）：2419-2424.
[17]	Kuroda S，Choda Y，Otsuka S，et al. Multicenter retrospective study to evaluate the efficacy and safety of the double-flap technique as antireflux esophagogastrostomy after proximal gastrectomy（rD-FLAP Study）［J］. Ann Gastroenterol Surg，2019，3（1）：96-103.
[18]	Omori T，Yamamoto K，Yanagimoto Y，et al. A Novel Valvuloplastic Esophagogastrostomy Technique for Laparoscopic Transhiatal Lower Esophagectomy and Proximal Gastrectomy for Siewert Type Ⅱ Esophagogastric Junction Carcinoma-the Tri Double-Flap Hybrid Method［J］. J Gastrointest Surg，2021，25（1）：16-27.
[19]	Kang SH，Won Y，Lee K，et al. Single-Incision Proximal Gastrectomy With Double-Flap Esophagogastrostomy Using Novel Laparoscopic Instruments［J］. Surg Innov，2021，28（1）：151-154.
[20]	彭巍，黄懿恺，程明，等. 右开襟单肌瓣成形术用于腹腔镜近端胃切除术消化道重建1例报告及可行性分析［J］. 中国实用外科杂志，2021，41（10）：1173-1175.
[21]	李子禹，王胤奎，李百隆，等. 近端胃切除术后食管残胃“拱桥式”重建3例效果分析［J］. 中华外科杂志，2022，60（03）：261-264.
[22]	Katai H，Morita S，Saka M，et al. Long-term outcome after proximal gastrectomy with jejunal interposition for suspected early cancer in the upper third of the stomach［J］. Br J Surg，2010，97（4）：558-562.
[23]	王伟，马从超，汤东，等. 空肠间置术在早期近端胃癌患者中应用效果评价［J/CD］. 中华普外科手术学杂志（电子版），2018，12（05）：414-417.
[24]	Ahn SH，Jung DH，Son SY，et al. Laparoscopic double-tract proximal gastrectomy for proximal early gastric cancer［J］. Gastric Cancer，2014，17（3）：562-570.
[25]	李东亮，周家杰，杜瑞，等. 腹腔镜辅助下三种消化道重建方式在食管胃结合部腺癌中的临床疗效分析［J/CD］. 中华腔镜外科杂志（电子版），2020，13（03）：159-165.
[26]	Takahashi M，Goto S，Ueno T，et al. Extreme dilatation of the interposed jejunal pouch after proximal gastrectomy associated with portal venous gas：A case report［J］. Int J Surg Case Rep，2017，37：244-247.
[27]	Yabusaki H，Kodera Y，Fukushima N，et al. Comparison of Postoperative Quality of Life among Three Different Reconstruction Methods After Proximal Gastrectomy：Insights From the PGSAS Study［J］. World J Surg，2020，44（10）：3433-3440.
[28]	Aburatani T，Kojima K，Otsuki S，et al. Double-tract reconstruction after laparoscopic proximal gastrectomy using detachable ENDO-PSD［J］. Surg Endosc，2017，31（11）：4848-4856.
[29]	Tanaka K，Ebihara Y，Kurashima Y，et al. Laparoscopic proximal gastrectomy with oblique jejunogastrostomy［J］. Langenbecks Arch Surg，2017，402（6）：995-1002.
[30]	Wang L，Xia Y，Jiang T，et al. Short-Term Surgical Outcomes of Laparoscopic Proximal Gastrectomy With Double-Tract Reconstruction Versus Laparoscopic Total Gastrectomy for Adenocarcinoma of Esophagogastric Junction：A Matched-Cohort Study［J］. J Surg Res，2020，246：292-299.
[31]	徐宁，董剑宏，张万红，等. 近端胃切除背驮式间置空肠吻合两种重建方式治疗Siewert Ⅱ~Ⅲ型食管胃结合部腺癌的比较研究［J］. 中华外科杂志，2019，57（02）：114-118.

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