Efficacy analysis of Cheng's Giraffe reconstruction after proximal gastrectomy
Objective To compare the short-term clinical effects of Cheng's Giraffe reconstruction and dual-channel reconstruction after radical proximal gastrectomy for gastroesophageal junction cancer and evaluate the efficacy of Cheng's"Giraffe"reconstruction.Methods From September 1,2018 to September 01,2023,125 patients undergoing proximal gastrectomy were reviewed retrospectively.Cheng's Giraffe reconstruction(n=91)and double channel reconstruction(n=34)were performed.The relevant observation parameters included operation(operative duration,reconstruction time&intraoperative blood loss),postoperative status(postoperative hospitalization stay,postoperative drainage time,number of detected lymph nodes,incidence of Clavien-Dindo≥3 complications,incidence of anastomotic leakage and anastomotic stricture)and follow-ups(incidence of gastroesophageal reflux,hemoglobin and serum albumin at Year 1 post-operation).Results No significant inter-group differences existed in baseline profiles(all P>0.05).No significant inter-group differences existed in volume of intraoperative blood loss,postoperative hospitalization stay,postoperative drainage time,the number of lymph nodes detected,the incidence of complications of Clavien-Dindo≥3,the incidence of anastomotic leakage and anastomotic stenosis.As compared with PG-DT group,reconstruction time(P<0.001)and operative duration(P=0.036)were shorter in PG-Giraffe group.No significant inter-group differences existed in incidence of gastroesophageal reflux,hemoglobin or serum albumin at Year 1 post-operation(P>0.05).Conclusion After proximal gastrectomy for gastroesophageal junction cancer,clinical efficacy of Cheng's Giraffe reconstruction is similar to that of dual-channel reconstruction and operation is simple.It is an ideal approach of reconstruction.
万方数据
维普
