ArticleSurgical endoscopy2016
A novel method of delta-shaped intracorporeal double-tract reconstruction in totally laparoscopic proximal gastrectomy.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Effects of reconstruction techniques after proximal gastrectomy: a systematic review and meta-analysis.World journal of surgical oncology · 2020Pooled it
- Advantages of Hao's esophagogastrostomy by fissure technique: study protocol for a prospective clinical trial.Future science OA · 2025Article
- Short- and Mid-Term Outcomes of Proximal Gastrectomy With Double-Tract Reconstruction Versus Total Gastrectomy in Early-Stage Proximal Gastric Cancer.Cancer medicine · 2025Article
- Article
- A novel anti-reflux esophagogastric anastomosis in totally laparoscopic proximal gastrectomy: Hao's esophagogastrostomy by fissure technique (HEFT).World journal of surgical oncology · 2025Article
- Anastomotic stenosis following proximal gastrectomy with single flap valvulopasty successfully managed with endoscopic stricturotomy: a case report.Frontiers in surgery · 2023Article
- Article
- Double-tract reconstruction for oesofagocardial gastric cancer: A systematic review.Annals of medicine and surgery (2012) · 2021Review
- A novel method for π-shaped esophagojejunostomy and double-tract reconstruction (DTR) as an alternative in totally laparoscopic or robotic proximal gastrectomy for treating upper third proximal early gastric cancer.Updates in surgery · 2021Article
- Various Kinds of Functional Digestive Tract Reconstruction Methods After Proximal Gastrectomy.Frontiers in oncology · 2021Review
- Laparoscopic Double-Tract Esophago-Jejunostomy Reconstruction for Iatrogenic Esophageal Perforation After Endoscopic Pneumatic Dilatation for Achalasia: A Case Report.The American journal of case reports · 2020Article
- Predominant classic circular-stapled double-tract reconstruction after totally laparoscopic proximal gastrectomy: safe, feasible, time-saving anastomoses by technical tie-up.Surgical endoscopy · 2020Article
- Double-Tract Reconstruction Designed to Allow More Food Flow to the Remnant Stomach After Laparoscopic Proximal Gastrectomy.World journal of surgery · 2020Article
- Digestive tract reconstruction options after laparoscopic gastrectomy for gastric cancer.World journal of gastrointestinal oncology · 2020Review
- Proximal Gastrectomy with Double Tract Reconstruction Is an Alternative Revision Surgery for Intractable Complications After Sleeve Gastrectomy.Obesity surgery · 2017Article
- Laparoscopic double-tract reconstruction after total gastrectomy for postoperative duodenal surveillance: Case series.Annals of medicine and surgery (2012) · 2017Article
- Laparoscopic proximal gastrectomy with oblique jejunogastrostomy.Langenbeck's archives of surgery · 2017Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study is to depict a novel delta-shaped intracorporeal double-tract reconstruction (DT) for totally laparoscopic (TL) proximal gastrectomy (PG), and to evaluate its safety and feasibility by analyzing its surgical and postoperative outcomes. PATIENTS AND
methodsWe retrospectively reviewed the cases of 21 patients who underwent TLPG and TLDT (TLPG-DT) from January to December 2014 in our hospital. The data of clinicopathologic characteristics, surgical and postoperative outcomes, and follow-up findings were collected and analyzed.
resultsThe mean duration of the operation was 173.8 ± 21.8 min, including 27.8 ± 5.3 min of reconstruction. The blood loss was 109.2 ± 96.3 mL. The mean number of LNs dissected was 25.7 ± 4.7. The mean time of the first flatus was at postoperative day 2.3 ± 1.0, and the mean postoperative hospital stay was 6.8 ± 2.5 days. The early complications rate was 9.5 %, including one intraperitoneal hemorrhage and one pulmonary infection (both were managed through conservative methods and no re-operation occurred). The rate of complications in late stage was also 9.5 %, including one diarrhea and one reflux symptom claim. Among the total 21 cases, 17 patients were followed up more than 6 months, showing no signs of reflux esophagitis or anastomotic stenosis. The mean weight loss in 3 and 6 months after the operation was 4.3 and 5.7 %, respectively.
conclusionTotally laparoscopic delta-shaped intracorporeal double-tract reconstruction is a safe, feasible and minimally invasive reconstruction method with excellent postoperative outcomes in terms of preventing reflux esophagitis and anastomotic stenosis. TLPG-DT might serve as a promising treatment for proximal gastric cancer of early stage.
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