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Digestive tract reconstruction after laparoscopic proximal gastrectomy for Gastric cancer: A systematic review

The incidence of gastroesophageal junction adenocarcinoma has gradually increased. Proximal gastrectomy or total gastrectomy is recommended for early gastric cancer of the upper third of the stomach. Because total gastrectomy is often accompanied by body mass loss and nutrient absorption disorders,...

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Autores principales: Li, Li, Cai, Xufan, Liu, Zhenghui, Mou, Yiping, Wang, YuanYu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ivyspring International Publisher 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583589/
https://www.ncbi.nlm.nih.gov/pubmed/37859825
http://dx.doi.org/10.7150/jca.87315
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author Li, Li
Cai, Xufan
Liu, Zhenghui
Mou, Yiping
Wang, YuanYu
author_facet Li, Li
Cai, Xufan
Liu, Zhenghui
Mou, Yiping
Wang, YuanYu
author_sort Li, Li
collection PubMed
description The incidence of gastroesophageal junction adenocarcinoma has gradually increased. Proximal gastrectomy or total gastrectomy is recommended for early gastric cancer of the upper third of the stomach. Because total gastrectomy is often accompanied by body mass loss and nutrient absorption disorders, such as severe hypoproteinemia and anemia, Proximal gastrectomy is more frequently recommended by researchers for early upper gastric cancer (T1N0M0) and Siewert II gastroesophageal junction cancer less than 4 cm in length. Although some functions of the stomach are retained after proximal gastrectomy, the anatomical structure of the gastroesophageal junction can be destroyed, and the anti-reflux effect of the cardia is lost. In recent years, as various reconstruction methods for anti-reflux function have been developed, some functions of the stomach are retained, and serious reflux esophagitis is avoided after proximal gastrectomy. In this article, we summarized the indications, advantages, and disadvantages of various classic reconstruction methods and latest improved reconstruction method including esophageal and residual stomach anastomosis, tubular gastroesophageal anastomosis, muscle flap anastomosis, jejunal interposition, and double-tract reconstruction.
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spelling pubmed-105835892023-10-19 Digestive tract reconstruction after laparoscopic proximal gastrectomy for Gastric cancer: A systematic review Li, Li Cai, Xufan Liu, Zhenghui Mou, Yiping Wang, YuanYu J Cancer Review The incidence of gastroesophageal junction adenocarcinoma has gradually increased. Proximal gastrectomy or total gastrectomy is recommended for early gastric cancer of the upper third of the stomach. Because total gastrectomy is often accompanied by body mass loss and nutrient absorption disorders, such as severe hypoproteinemia and anemia, Proximal gastrectomy is more frequently recommended by researchers for early upper gastric cancer (T1N0M0) and Siewert II gastroesophageal junction cancer less than 4 cm in length. Although some functions of the stomach are retained after proximal gastrectomy, the anatomical structure of the gastroesophageal junction can be destroyed, and the anti-reflux effect of the cardia is lost. In recent years, as various reconstruction methods for anti-reflux function have been developed, some functions of the stomach are retained, and serious reflux esophagitis is avoided after proximal gastrectomy. In this article, we summarized the indications, advantages, and disadvantages of various classic reconstruction methods and latest improved reconstruction method including esophageal and residual stomach anastomosis, tubular gastroesophageal anastomosis, muscle flap anastomosis, jejunal interposition, and double-tract reconstruction. Ivyspring International Publisher 2023-09-25 /pmc/articles/PMC10583589/ /pubmed/37859825 http://dx.doi.org/10.7150/jca.87315 Text en © The author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/). See http://ivyspring.com/terms for full terms and conditions.
spellingShingle Review
Li, Li
Cai, Xufan
Liu, Zhenghui
Mou, Yiping
Wang, YuanYu
Digestive tract reconstruction after laparoscopic proximal gastrectomy for Gastric cancer: A systematic review
title Digestive tract reconstruction after laparoscopic proximal gastrectomy for Gastric cancer: A systematic review
title_full Digestive tract reconstruction after laparoscopic proximal gastrectomy for Gastric cancer: A systematic review
title_fullStr Digestive tract reconstruction after laparoscopic proximal gastrectomy for Gastric cancer: A systematic review
title_full_unstemmed Digestive tract reconstruction after laparoscopic proximal gastrectomy for Gastric cancer: A systematic review
title_short Digestive tract reconstruction after laparoscopic proximal gastrectomy for Gastric cancer: A systematic review
title_sort digestive tract reconstruction after laparoscopic proximal gastrectomy for gastric cancer: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10583589/
https://www.ncbi.nlm.nih.gov/pubmed/37859825
http://dx.doi.org/10.7150/jca.87315
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