Safety and efficacy of laparoscopic proximal gastrectomy with SOFY versus laparoscopic total gastrectomy with Roux-en-Y for treating cT1-2 Siewert II/III adenocarcinoma of the esophagogastric junction: a single-center prospective cohort study

Zhang, Haiqiao; Zheng, Zhi; Liu, Xiaoye; Xin, Chenglin; Huang, Yong; Li, Yuan; Yin, Jie; Zhang, Jun

doi:10.1007/s00423-023-02779-7

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…Significant reductions in gastroesophageal reflux (60.7% vs 4.2%, P < 0.001], postoperative reflux oesophagitis, and improvement of the overall health status were reported by a study[ 53 ], comparing the use of an esophago-gastric anastomosis by lateral overlap with fundoplication, by Yamashita (SOFY), with antireflux function, associated with laparoscopic proximal gastrectomy and respectively Roux-en-Y esophago-jejunostomy for laparoscopic TG, in patients with Siewert II/III tumors.…”

Section: Oesophago-gastric Resectionmentioning

confidence: 99%

Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

Bîrlă,

Hoara,

Achim

et al. 2023

World J Gastrointest Oncol

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Minimally invasive surgery is increasingly indicated in the management of malignant disease. Although oesophagectomy is a difficult operation, with a long learning curve, there is actually a shift towards the laparoscopic/thoracoscopic/ robotic approach, due to the advantages of visualization, surgeon comfort (robotic surgery) and the possibility of the whole team to see the operation as well as and the operating surgeon. Although currently there are still many controversial topics, about the surgical treatment of patients with gastro-oesophageal junction (GOJ) adenocarcinoma, such as the type of open or minimally invasive surgical approach, the type of oesophago-gastric resection, the type of lymph node dissection and others, the minimally invasive approach has proven to be a way to reduce postoperative complications of resection, especially by decreasing pulmonary complications. The implementation of new technologies allowed the widening of the range of indications for this type of surgical approach. The short-term and long-term results, as well as the benefits for the patient - reduced surgical trauma, quick and easy recovery - offer this type of surgical treatment the premises for future development. This article reviews the updates and perspectives on the minimally invasive approach for GOJ adenocarcinoma.

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Section: Oesophago-gastric Resectionmentioning

confidence: 99%

Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

Bîrlă,

Hoara,

Achim

et al. 2023

World J Gastrointest Oncol

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“…Furthermore, the incidence of proximal gastric cancers has steadily increased (9). Laparoscopic proximal gastrectomy (LPG) is a standard approach, and several reconstruction methods, including jejunal interposition (10), double-tract reconstruction (DTR) (11), and esophagogastrostomy (EG) (3,(12)(13)(14)(15)(16), have been used. Up to 2019, we performed DTR and, in 2020, we introduced one of the EG techniques, a modified side overlap with fundoplication by Yamashita (mSOFY) (12).…”

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confidence: 99%

EsophagogastrostomyVersusDouble Tract Reconstruction for Laparoscopic Proximal Gastrectomy: Short-term Outcomes Based on Nutritional Parameters and Skeletal Muscle Index

MORINO,

KITANO,

KADOKAWA

et al. 2024

In Vivo

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Background/Aim: The optimal reconstruction method for laparoscopic proximal gastrectomy (LPG) remains controversial. The present study aimed to compare short-term outcomes, including assessment of nutritional parameters and skeletal muscle, between two different methods, double-tract reconstruction (DTR) versus esophagogastrostomy (EG). Patients and Methods: Data from patients who underwent LPG for gastric tumor(s) between 2018 and 2021, were retrospectively analyzed. Patients were divided into two group: DTR (n=11) and EG (n=17). Since 2020, the authors have applied the modified side overlap with fundoplication by Yamashita (mSOFY) method as the EG technique. Results: Compared with DTR, EG was associated with a shorter reconstruction time (p=0.003). Complications of grade ≥3 occurred only in the EG group [n=4 (23.5%)] and the incidence of abnormal endoscopic findings after surgery was numerically higher in the EG group (n=2 vs. n=9; p=0.047). Across virtually all data points on the line graph, the EG group exhibited greater changes in post-discharge nutritional parameters, with Skeletal Muscle Index also demonstrating significant superiority (0.83 vs. 0.89; p=0.045). Conclusion: Among reconstruction methods for LPG, EG demonstrated superiority over DTR in preserving nutritional parameters and skeletal muscle mass. However, further research, including larger cohorts and longer-term follow-up, is necessary to validate this finding.

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Safety and efficacy of laparoscopic proximal gastrectomy with SOFY versus laparoscopic total gastrectomy with Roux-en-Y for treating cT1-2 Siewert II/III adenocarcinoma of the esophagogastric junction: a single-center prospective cohort study

Cited by 2 publications

References 27 publications

Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

Minimally invasive surgery for gastro-oesophageal junction adenocarcinoma: Current evidence and future perspectives

EsophagogastrostomyVersusDouble Tract Reconstruction for Laparoscopic Proximal Gastrectomy: Short-term Outcomes Based on Nutritional Parameters and Skeletal Muscle Index

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