Clinical Outcome of Modified Laparoscopy-Assisted Proximal Gastrectomy Compared to Conventional Proximal Gastrectomy or Total Gastrectomy for Upper-Third Early Gastric Cancer with Special References to Postoperative Reflux Esophagitis
- Authors
- Huh, Yeon-Ju; Lee, Hyuk-Joon; Oh, Seung-Young; Lee, Kyung-Goo; Yang, Jun-Young; Ahn, Hye-Seong; Suh, Yun-Suhk; Kong, Seong-Ho; Lee, Kuhn-Uk; Yang, Han-Kwang
- Issue Date
- Sep-2015
- Publisher
- KOREAN GASTRIC CANCER ASSOC
- Keywords
- Stomach neoplasms; Laparoscopy; Gastrectomy
- Citation
- JOURNAL OF GASTRIC CANCER, v.15, no.3, pp.191 - 200
- Journal Title
- JOURNAL OF GASTRIC CANCER
- Volume
- 15
- Number
- 3
- Start Page
- 191
- End Page
- 200
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/10178
- DOI
- 10.5230/jgc.2015.15.3.191
- ISSN
- 2093-582X
- Abstract
- Purpose: This study evaluated the functional and oncological outcomes of proximal gastrectomy (PG) in comparison with total gastrectomy (TG) for upper-third early gastric cancer (EGC). Materials and Methods: The medical records of upper-third EGC patients who had undergone PG (n = 192) or TG (n = 157) were reviewed. The PG group was further subdivided into patients who had undergone conventional open PG (cPG; n = 157) or modified laparoscopy-assisted PG (mLAPG; n = 35). Patients who had undergone mLAPG had a longer portion of their intra-abdominal esophagus preserved than patients who had undergone cPG. Surgical morbidity, recurrence, long-term nutritional status, and the incidence of reflux esophagitis were compared between the groups. Results: The rate of postoperative complications was significantly lower for PG than TG (16.7% vs. 31.2%), but the five-year overall survival rate was comparable between the two groups (99.3% vs. 96.3%). Postoperative levels of hemoglobin and albumin were significantly higher for patients who had undergone PG. However, the incidence of reflux esophagitis was higher for PG than for TG (37.4% vs. 3.7%; P < 0.001). mLAPG was related to a lower incidence of reflux esophagitis after PG (P < 0.001). Conclusions: Compared to TG, PG showed an advantage in terms of postoperative morbidity and nutrition, and there was a comparable prognosis between the two procedures. Preserving the intra-abdominal esophagus may lower the incidence of reflux esophagitis associated with PG.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/10178)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.