Citation: | Liao Xinhua, Qiu Guanglin, Zhu Mengke, et al. Digestive tract reconstruction after laparoscopic proximal gastrectomy and the application prospect of esophagogastric anastomosis with double flap technique[J]. Chinese Journal of Digestive Surgery, 2022, 21(3): 355-361. DOI: 10.3760/cma.j.cn115610-20220206-00067 |
Laparoscopic proximal gastrectomy (LPG) can be selected for the treatment of early upper gastric carcinoma, but gastroesophageal reflux after operation would seriously affect the quality of life of patients. Esophagogastric anastomosis with double flap technique is a digestive tract reconstruction method using the anastomosis between the esophagus and the anterior wall of the stomach. Compared with other digestive tract reconstruction methods, esophagogastric anastomosis with double flap technique can maintain the postoperative body mass of patients in good condition, improve the nutritional status and the long‑term quality of life of patients. Esophagogastric anasto-mosis with double flap technique has good anti reflux effects and retain the possibility of endoscopic examination and treatment. By reviewing literatures at home and abroad, and combined with clinical experiences, the authors discuss current status and digestive tract reconstruction methods of LPG, and deeply investigate the application prospect of esophagogastric anastomosis with double flap technique.
[1] |
SungH, FerlayJ, SiegelRL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin,2021,71(3):209‑249. DOI: 10.3322/caac.21660.
|
[2] |
LiuK, YangK, ZhangW, et al. Changes of esophagogastric junctional adenocarcinoma and gastroesophageal reflux disease among surgical patients during 1988-2012: a single-institution, high‑volume experience in China[J]. Ann Surg,2016,263(1):88‑95. DOI:10.1097/SLA.0000000000 001148.
|
[3] |
CaoW, ChenHD, YuYW, et al. Changing profiles of cancer burden worldwide and in China: a secondary analysis of the global cancer statistics 2020[J]. Chin Med J (Engl),2021,134(7):783‑791. DOI:10.1097/CM9.000000000000 1474.
|
[4] |
Information Committee of Korean Gastric Cancer Association. Korean Gastric Cancer Association nationwide survey on gastric cancer in 2014[J]. J Gastric Cancer,2016,16(3):131-140. DOI: 10.5230/jgc.2016.16.3.131.
|
[5] |
李沣员,宣哲,徐皓,等.内镜黏膜下剥离术后行全腹腔镜远端胃切除术和直接行全腹腔镜远端胃切除术治疗早期胃癌的近期疗效[J].中华消化外科杂志,2021,20(5):519‑527. DOI: 10.3760/cma.j.cn115610-20210301-00104.
|
[6] |
KimHH, HanSU, KimMC, et al. Effect of laparoscopic dis-tal gastrectomy vs open distal gastrectomy on long‑term survival among patients with stage Ⅰ gastric cancer: the KLASS‑01 randomized clinical trial[J]. JAMA Oncol,2019,5(4):506‑513. DOI: 10.1001/jamaoncol.2018.6727.
|
[7] |
KataiH, MizusawaJ, KatayamaH, et al. Survival outcomes after laparoscopy‑assisted distal gastrectomy versus open distal gastrectomy with nodal dissection for clinical stage ⅠA or ⅠB gastric cancer (JCOG0912): a multicentre, non-inferiority, phase 3 randomised controlled trial[J]. Lancet Gastroenterol Hepatol,2020,5(2):142‑151. DOI: 10.1016/S2468-1253(19)30332-2.
|
[8] |
Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2018 (5th edition)[J]. Gastric Cancer,2021,24(1):1‑21. DOI:10.1007/s10120-020-010 42-y.
|
[9] |
ChoM, SonT, KimHI, et al. Similar hematologic and nutri-tional outcomes after proximal gastrectomy with double-tract reconstruction in comparison to total gastrectomy for early upper gastric cancer[J]. Surg Endosc,2019,33(6):1757‑1768. DOI: 10.1007/s00464-018-6448-x.
|
[10] |
WangFH, ZhangXT, LiYF, et al. The Chinese Society of Clinical Oncology (CSCO): clinical guidelines for the diag-nosis and treatment of gastric cancer,2021[J]. Cancer Commun (Lond),2021,41(8):747‑795. DOI:10.1002/cac2. 12193.
|
[11] |
MaF, WangW, GuoD, et al. Short‑term outcomes of lapa-roscopic versus open proximal gastrectomy with double-tract reconstruction for Siewert type Ⅱ and Ⅲ adenocar-cinoma of the esophagogastric junction: a retrospective observational study of consecutive patients[J]. Ann Transl Med,2021,9(4):352. DOI: 10.21037/atm-21-130.
|
[12] |
XuY, TanY, WangY, et al. Proximal versus total gastrec-tomy for proximal early gastric cancer: a systematic review and meta‑analysis[J]. Medicine (Baltimore),2019,98(19):e15663. DOI: 10.1097/MD.0000000000015663.
|
[13] |
《近端胃切除消化道重建中国专家共识》编写委员会.近端胃切除消化道重建中国专家共识(2020版)[J].中华胃肠外科杂志,2020,23(2):101‑108. DOI: 10.3760/cma.j.issn.1671-0274.2020.02.002.
|
[14] |
SazeZ, KaseK, NakanoH, et al. Functional benefits of the double flap technique after proximal gastrectomy for gas-tric cancer[J]. BMC Surg,2021,21(1):392. DOI: 10.1186/s12893-021-01390-1.
|
[15] |
KataiH, MizusawaJ, KatayamaH, et al. Single‑arm confir-matory trial of laparoscopy‑assisted total or proximal gas-trectomy with nodal dissection for clinical stage Ⅰ gastric cancer: Japan Clinical Oncology Group study JCOG1401[J]. Gastric Cancer,2019,22(5):999‑1008. DOI:10.1007/s101 20-019-00929-9.
|
[16] |
JungDH, LeeY, KimDW, et al. Laparoscopic proximal gastrectomy with double tract reconstruction is superior to laparoscopic total gastrectomy for proximal early gas-tric cancer[J]. Surg Endosc,2017,31(10):3961‑3969. DOI: 10.1007/s00464-017-5429-9.
|
[17] |
YamashitaH, SetoY, SanoT, et al. Results of a nation‑wide retrospective study of lymphadenectomy for esophago-gastric junction carcinoma[J]. Gastric Cancer,2017,20(Suppl 1):69‑83. DOI: 10.1007/s10120-016-0663-8.
|
[18] |
YuraM, YoshikawaT, OtsukiS, et al. Oncological safety of proximal gastrectomy for T2/T3 proximal gastric cancer[J]. Gastric Cancer,2019,22(5):1029‑1035. DOI: 10.1007/s10120-019-00938-8.
|
[19] |
KinoshitaT, GotohdaN, KatoY, et al. Laparoscopic proxi-mal gastrectomy with jejunal interposition for gastric cancer in the proximal third of the stomach: a retrospec-tive comparison with open surgery[J]. Surg Endosc,2013, 27(1):146‑153. DOI: 10.1007/s00464-012-2401-6.
|
[20] |
TakayamaY, KaneokaY, MaedaA, et al. Comparison of out-comes of laparoscopy‑assisted and open proximal gastrec-tomy with jejunal interposition for early gastric cancer in the upper third of the stomach: a retrospective observa-tional study[J]. Asian J Endosc Surg,2018,11(4):329‑336. DOI: 10.1111/ases.12469.
|
[21] |
AhnSH, LeeJH, ParkDJ, et al. Comparative study of clini-cal outcomes between laparoscopy‑assisted proximal gas-trectomy (LAPG) and laparoscopy‑assisted total gastrec-tomy (LATG) for proximal gastric cancer[J]. Gastric Cancer,2013, 16(3):282‑289. DOI: 10.1007/s10120-012-0178-x.
|
[22] |
SugiyamaM, OkiE, AndoK, et al. Laparoscopic proximal gastrectomy maintains body weight and skeletal muscle better than total gastrectomy[J]. World J Surg,2018,42(10):3270‑3276. DOI: 10.1007/s00268-018-4625-7.
|
[23] |
SatoR, KinoshitaT, AkimotoE, et al. Feasibility and quali-ty of life assessment of laparoscopic proximal gastrectomy using double‑tract reconstruction[J]. Langenbecks Arch Surg,2021,406(2):479‑489. DOI:10.1007/s00423-020-02 076-7.
|
[24] |
RosaF, QueroG, FiorilloC, et al. Total vs proximal gas-trectomy for adenocarcinoma of the upper third of the stomach: a propensity‑score‑matched analysis of a multi-center western experience (on behalf of the Italian research group for gastric cancer‑GIRCG)[J]. Gastric Cancer,2018, 21(5):845‑852. DOI: 10.1007/s10120-018-0804-3.
|
[25] |
TakeuchiH, OyamaT, KamiyaS, et al. Laparoscopy-assis-ted proximal gastrectomy with sentinel node mapping for early gastric cancer[J]. World J Surg,2011,35(11):2463-2471. DOI: 10.1007/s00268-011-1223-3.
|
[26] |
AdachiY, InoueT, HaginoY, et al. Surgical results of proxi-mal gastrectomy for early‑stage gastric cancer: jejunal interposition and gastric tube reconstruction[J]. Gastric Cancer,1999,2(1):40‑45. DOI: 10.1007/s101200050019.
|
[27] |
杨鹏,朱华威,张蓉,等.管状胃吻合对根治性胃切除术后胃排空障碍和反流性食管炎的影响[J].中国医师进修杂志,2018,41(10):909‑912. DOI:10.3760/cma.j.issn.1673-49 04.2018.10.011.
|
[28] |
刘林波,胥润,龚土平,等.管状胃吻合预防近端胃切除术后反流性食管炎的临床研究[J]. 西部医学,2016,28(12): 1669-1672. DOI: 10.3969/j.issn.1672-3511.2016.12.009.
|
[29] |
AiharaR, MochikiE, OhnoT, et al. Laparoscopy‑assisted proximal gastrectomy with gastric tube reconstruction for early gastric cancer[J]. Surg Endosc,2010,24(9):2343‑2348. DOI: 10.1007/s00464-010-0947-8.
|
[30] |
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(2):158-162. DOI: 10.3760/cma.j.issn.1671-0274.2020.02.011.
|
[31] |
YamashitaY, YamamotoA, TamamoriY, et al. Side overlap esophagogastrostomy to prevent reflux after proximal gastrectomy[J]. Gastric Cancer,2017,20(4):728‑735. DOI: 10.1007/s10120-016-0674-5.
|
[32] |
HosogiH, SakaguchiM, YagiD, et al. Side‑overlap esopha-gogastric tube (SO‑EG) reconstruction after minimally invasive Ivor Lewis esophagectomy or laparoscopic proxi-mal gastrectomy for cancer of the esophagogastric junc-tion[J]. Langenbecks Arch Surg,2021[2022-02-06]. https://pubmed.ncbi.nlm.nih.gov/34775522/. DOI:10.1007/s004 23-021-02377-5.[Epub ahead of print].
|
[33] |
AikouT, NatsugoeS, ShimazuH, et al. Antrum preserving double tract method for reconstruction following proxi-mal gastrectomy[J]. Jpn J Surg, 1988,18(1):114‑115. DOI: 10.1007/BF02470857.
|
[34] |
KimDJ, KimW. Laparoscopy‑assisted proximal gastrec-tomy with double tract anastomosis is beneficial for vita-min B12 and iron absorption[J]. Anticancer Res,2016,36(9):4753‑4758. DOI: 10.21873/anticanres.11031.
|
[35] |
NomuraE, LeeSW, KawaiM, et al. Functional outcomes by reconstruction technique following laparoscopic proxi-mal gastrectomy for gastric cancer: double tract versus jejunal interposition[J]. World J Surg Oncol,2014,12:20. DOI: 10.1186/1477-7819-12-20.
|
[36] |
HirashimaK, IshikawaT, KosugiS, et al. Internal hernia after laparoscopic‑assisted proximal gastrectomy with jejunal interposition for gastric cancer: a case report[J]. Surg Case Rep,2015, 1(1):49. DOI: 10.1186/s40792-015-0051-3.
|
[37] |
TakayamaY, KaneokaY, MaedaA, et al. Internal hernia after proximal gastrectomy with jejunal interposition[J]. Updates Surg,2018,70(1):85‑90. DOI: 10.1007/s13304-017-0497-x.
|
[38] |
KurodaS, NishizakiM, KikuchiS, et al. Double‑flap tech-nique as an antireflux procedure in esophagogastrostomy after proximal gastrectomy[J]. J Am Coll Surg,2016,223(2):e7‑e13. DOI: 10.1016/j.jamcollsurg.2016.04.041.
|
[39] |
HölscherAH, LawS. Esophagogastric junction adenocarci-nomas: individualization of resection with special consi-derations for Siewert type Ⅱ, and Nishi types EG, E=G and GE cancers[J]. Gastric Cancer,2020,23(1):3‑9. DOI:10. 1007/s10120-019-01022-x.
|
[40] |
KurodaS, ChodaY, OtsukaS, et al. Multicenter retro-spective 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. DOI:10.1002/ags3. 12216.
|
[41] |
MuraokaA, KobayashiM, KokudoY. Laparoscopy‑assisted proximal gastrectomy with the hinged double flap method[J]. World J Surg,2016,40(10):2419‑2424. DOI: 10.1007/s00268-016-3510-5.
|
[42] |
ShojiY, NunobeS, IdaS, et al. Surgical outcomes and risk assessment for anastomotic complications after laparos-copic proximal gastrectomy with double‑flap technique for upper‑third gastric cancer[J]. Gastric Cancer,2019,22(5):1036‑1043. DOI: 10.1007/s10120-019-00940-0.
|
[43] |
ShaibuZ, ChenZ, MzeeS, et al. Effects of reconstruction techniques after proximal gastrectomy: a systematic review and meta‑analysis[J]. World J Surg Oncol,2020,18(1):171. DOI: 10.1186/s12957-020-01936-2.
|
[44] |
WangS, LinS, WangH, et al. Reconstruction methods after radical proximal gastrectomy: a systematic review[J]. Medicine (Baltimore),2018,97(11):e0121. DOI:10.10 97/MD.0000000000010121.
|
[45] |
HayamiM, HikiN, NunobeS, et al. Clinical outcomes and evaluation of laparoscopic proximal gastrectomy with double-flap technique for early gastric cancer in the upper third of the stomach[J]. Ann Surg Oncol,2017,24(6):1635-1642. DOI: 10.1245/s10434-017-5782-x.
|
[46] |
ShibasakiS, SudaK, NakauchiM, et al. Robotic valvulo-plastic esophagogastrostomy using double flap technique following proximal gastrectomy: technical aspects and short-term outcomes[J]. Surg Endosc,2017,31(10):4283-4297. DOI: 10.1007/s00464-017-5489-x.
|
[47] |
TakenoA, MasuzawaT, KatsuyamaS, et al. Robotic-assis-ted proximal gastrectomy using the double‑flap technique for early gastric cancer with situs inversus totalis: a case report[J]. Surg Case Rep,2021,7(1):172. DOI:10.1186/s40 792-021-01262-z.
|
[48] |
SaekiY, TanabeK, YamamotoY, et al. Laparoscopic proxi-mal gastrectomy with hinged double flap method using knotless barbed absorbable sutures: a case series[J]. Int J Surg Case Rep,2018,51:165‑169. DOI:10.1016/j.ijscr.2018. 08.041.
|
[49] |
KumamotoT, SasakoM, IshidaY, et al. Clinical outcomes of proximal gastrectomy for gastric cancer: a comparison between the double‑flap technique and jejunal interposi-tion[J]. PLoS One,2021,16(2):e0247636. DOI: 10.1371/journal.pone.0247636.
|
[50] |
RiM, NunobeS, MakuuchiR, et al. Key factors for maintai-ning postoperative skeletal muscle mass after laparos-copic proximal gastrectomy with double‑flap technique reconstruction for early gastric cancer[J]. J Gastrointest Surg,2021,25(6):1569‑1572. DOI: 10.1007/s11605-020-04846-6.
|
[51] |
TsumuraT, KurodaS, NishizakiM, et al. Short‑term and long‑term comparisons of laparoscopy‑assisted proximal gastrectomy with esophagogastrostomy by the double-flap technique and laparoscopy‑assisted total gastrectomy for proximal gastric cancer[J]. PLoS One,2020,15(11):e0242223. DOI: 10.1371/journal.pone.0242223.
|
[52] |
KanoY, OhashiM, IdaS, et al. Laparoscopic proximal gastrectomy with double‑flap technique versus laparosco-pic subtotal gastrectomy for proximal early gastric cancer[J]. BJS Open,2020,4(2):252‑259. DOI: 10.1002/bjs5.50241.
|
[53] |
杨东,孟祥宇,赵岩,等.食管胃吻合双肌瓣成形在全腹腔镜近端胃癌根治术中的应用价值[J].中华消化外科杂志,2021,20(9):994-1000. DOI:10.3760/cma.j.cn115610-20 210824-00412.
|
[1] | Sun Juan, Zhang Zimu, Zeng Ziyang, Wang Xianze, Liu Zhen, Ouyang Siwen, Yu Jianchun, Ye Xin, Ma Zhiqiang, Kang Weiming. Analysis of risk factors for early complications after laparoscopy-assisted gastrectomy in patients with gastric cancer[J]. Chinese Journal of Digestive Surgery, 2021, 20(9): 974-980. DOI: 10.3760/cma.j.cn115610-20210826-00418 |
[2] | Cai Zhenghao, Ma Junjun, Zang Lu, Dong Feng, Feng Bo, Sun Jing, Zong Yaping, Zhang Luyang, Hong Xizhou, Lu Aiguo, Zheng Minhua. A primary investigation on application value of glasses-free three-dimensional laparoscopy system in laparoscopic radical resection of gastrointestinal malignant tumors[J]. Chinese Journal of Digestive Surgery, 2020, 19(6): 644-652. DOI: 10.3760/cma.j.cn115610-20200515-00357 |
[3] | Cao Feng, Li Fei. Application of laparoscopy in intraoperative restaging for pancreatic cancer[J]. Chinese Journal of Digestive Surgery, 2020, 19(5): 505-510. DOI: 10.3760/cma.j.cn115610-20200308-00152 |
[4] | He Wei, Qiao Zhixiong, He Jinxi, Cai Baoning, Han Yuning, Lu Xiangyang.. Application value of single-port inflatable mediastinoscopy combined with laparoscopy in the radical resection of esophageal cancer[J]. Chinese Journal of Digestive Surgery, 2018, 17(9): 954-958. DOI: 10.3760/cma.j.issn.1673-9752.2018.09.015 |
[5] | Hong Qingqi, Yang Li#, Li Zhengrong, Yan Su, Zhang Wenbin, Fan Lin, Wang Wei, Zhang Jian, Zhu Jiaming, Ji Gang, Zhao Yongliang, You Jun.. Influence of body configuration on the therapeutic effects of totally laparoscopic and laparoscopy-assisted radical total gastrectomies: a multicentre retrospective study (A report of 677 cases)[J]. Chinese Journal of Digestive Surgery, 2018, 17(1): 60-67. DOI: 10.3760/cma.j.issn.1673-9752.2018.01.016 |
[6] | Wang Junjiang, Li Xiaowu, Feng Xingyu, Hu Weixian, Zheng Jiabin, Cai Guanfu, Wu Wulin, Li Yong, Yao Xueqing.. Effect analysis of laparoscopy-assisted and open D2 radical gastrectomy for gastric cancer[J]. Chinese Journal of Digestive Surgery, 2017, 16(11): 1144-1148. DOI: 10.3760/cma.j.issn.1673-9752.2017.11.014 |
[7] | Yang Hong, Zhang Nan, Cui Ming, Xing Jiadi, Wu Xiuxiu, Zhang Chenghai, Yao Zhendan, Liu Maoxing, Su Xiangqian.. Efficacy analysis of laparoscopyassisted total gastrectomy and proximal gastrectomy in treatment of adenocarcinoma of esophagogastric junction[J]. Chinese Journal of Digestive Surgery, 2016, 15(11): 1062-1067. DOI: 10.3760/cma.j.issn.1673-9752.2016.11.006 |
[8] | Yang Hong, Cui Ming, Xing Jiadi, Zhang Chenghai, Yao Zhendan, Zhang Nan, Su Xiangqian. Clinical efficacy of laparoscopyassisted radical gastrectomy for gastric cancer[J]. Chinese Journal of Digestive Surgery, 2016, 15(3): 234-240. DOI: 10.3760/cma.j.issn.1673-9752.2016.03.006 |
[9] | Zhang Zongming, Yuan Haiming, Zhang Chong. Strategy of laparoscopy and choledochoscopy or duodenoscopy for the treatment of cholecystolithiasis combined with choledocholithiasis[J]. Chinese Journal of Digestive Surgery, 2015, 14(4): 280-283. DOI: 10.3760/cma.j.issn.1673-9752.2015.04.005 |
[10] | LI Yong, WANG Jun jiang, WU De qing, HU Wei xian, ZHAO Lin yong, YI Zhi yong, YAO Xue qing, LIN Feng. Skills and key points in radical resection of transverse colon cancer assisted by laparoscopy[J]. Chinese Journal of Digestive Surgery, 2013, 12(12): 948-951. DOI: 10.3760/cma.j.issn.1673〖KG*9〗9752.2013.12.014 |