A Comparative Study of Double-Tract Reconstruction and Roux-en-Y After Gastrectomy for Gastric Cancer

Surgical Laparoscopy, Endoscopy and Percutaneous Techniques - Tập 29 Số 2 - Trang 82-89 - 2019
Jun Hong1, Xiaogang Wang2, Hankun Hao1
1Department of General Surgery, Huashan Hospital
2Huashan Worldwide Medical Center, Huashan Hospital, Fudan University, Shanghai, China

Tóm tắt

Background: The meta-analysis was performed to compare surgical and functional results of double-tract (DT) and Roux-en-Y (RY) reconstruction, applied in both partial and total gastrectomy. Methods: PubMed, Ovid, Web of Science, Wiley, EBSCO, and the Cochrane Library Central were searched for studies comparing DT and RY after partial or total gastrectomy. Surgical, nutritional, and long-term outcomes were collected and analyzed. Results: A total of 595 patients from 8 studies were included. Operative time, time to first flatus, length of hospital stays, complications, postoperative nutritional variables, and functional result were similar between 2 groups. Group DT had significantly less blood loss, shorter time to oral intake and less loss of body weight at 2 years after operation. Conclusions: DT reconstruction is comparable with RY after gastrectomy in safety, surgical outcomes including reflux symptom and postoperative recovery and shows better food intake and body weight maintenance.

Từ khóa


Tài liệu tham khảo

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Thông tin xuất bản

Surgical Laparoscopy, Endoscopy and Percutaneous Techniques

Tập 29 Số 2

82-89

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