Can Proximal Gastrectomy with Double-Tract Reconstruction Replace Total Gastrectomy? A Propensity Score Matching Analysis
| Autor: | Dong Heon Kim, Chang In Choi, Dae Hwan Kim, Si-Hak Lee, Hyo Jung Ko, Su Jin Kim, Sun-Hwi Hwang, Cheol Woong Choi, Kihyun Kim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Gastroenterology 03 medical and health sciences Postoperative Complications 0302 clinical medicine Gastrectomy Stomach Neoplasms Internal medicine medicine Humans Propensity Score Retrospective Studies business.industry Reflux Retrospective cohort study medicine.disease Early Gastric Cancer Treatment Outcome 030220 oncology & carcinogenesis Propensity score matching Laparoscopy 030211 gastroenterology & hepatology Surgery Neoplasm Recurrence Local business Complication Body mass index Esophagitis |
| Zdroj: | Journal of Gastrointestinal Surgery. 24:516-524 |
| ISSN: | 1873-4626 1091-255X |
| DOI: | 10.1007/s11605-019-04195-z |
| Popis: | This retrospective cohort study compared proximal gastrectomy (PG) with double-tract reconstruction (DTR) versus total gastrectomy (TG) with Roux-en-Y reconstruction in terms of clinical outcomes. All consecutive patients with upper early gastric cancer (EGC) who underwent PG-DTR or TG in 2008–2016 were selected. TG patients who matched PG-DTR patients in age, sex, body mass index, clinical stage, and ASA score were selected by propensity score matching. Groups were compared in terms of clinicopathological characteristics, clinical outcomes, early (≤ 30 days), late (> 30 days), and severe (Clavien-Dindo grade ≥ III) postoperative complications, 1-year reflux morbidity, recurrence, and mortality. Of 322 patients, 52 underwent PG-DTR. A matching TG group of 52 patients was selected. The PG-DTR group had smaller tumors (p = 0.02), smaller proximal and distal resection margins (p = 0.01, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink