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A 3-Arm case-matched analysis of anti-reflux reconstruction methods after laparoscopic proximal gastrectomy - Single tract jejunal interposition vs double tract reconstruction vs tube-like stomach reconstruction.
Eur J Surg Oncol
November 2024
Northern Jiangsu People's Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, China; Department of General Surgery, Northern Jiangsu People's Hospital, Yangzhou, China; General Surgery Institute of Yangzhou, Yangzhou University, Yangzhou, China. Electronic address:
Background: Owing to reportedly superior prognosis, proximal gastrectomy (PG) is expected to be an alternative to total gastrectomy for upper gastric cancer. However, limited data are available regarding the optimal anti-reflux reconstruction method after PG. This study aimed to evaluate the effect of laparoscopic PG with single-tract jejunal interposition (LPG-STJI), double-tract reconstruction (LPG-DTR), and tube-like stomach reconstruction (LPG-TLR) on surgical outcomes in patients with upper-third gastric cancer.
View Article and Find Full Text PDF[Preliminary application results of laparoscopic assisted proximal gastrectomy λ-shaped double tract anastomosis].
Zhonghua Wei Chang Wai Ke Za Zhi
October 2024
Gastric Cancer Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China Institute for Gastric Cancer Research, Nanjing Medical University, Nanjing 211166, China Jiangsu Key Lab of Cancer Biomarkers, Prevention and Treatment, Collaborative Innovation Center for Personalized Cancer Medicine, Nanjing Medical University, Nanjing 211166, China.
To share the results of laparoscopic assisted proximal gastrectomy λ- shaped modified double tract reconstruction. This study retrospectively included 3 patients during January 2024 from the Department of Gastric Surgery at the First Affiliated Hospital of Nanjing Medical University using the λ-shaped modified double tract reconstruction. The procedure of the λ-shaped modified double tract reconstruction is as follows.
View Article and Find Full Text PDFCost-effectiveness of the RefluxStop device for management of refractory gastroesophageal reflux disease in Switzerland.
J Med Econ
June 2024
Hirslanden Klinik Beau-Site, Bern, Switzerland.
Background: One of the most prevalent conditions in Western societies is gastroesophageal reflux disease (GERD). In Switzerland, the standard treatment for GERD is proton pump inhibitor (PPI)-based medical management, but surgical options such as Nissen fundoplication and magnetic sphincter augmentation (MSA) are available. RefluxStop is a novel device that offers an alternative solution.
View Article and Find Full Text PDFThe Belsey Mark IV procedure in the era of minimally invasive antireflux surgery.
Dis Esophagus
November 2023
Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
Background: Different surgical techniques exist in the treatment of giant and complex hiatal hernia. The aim of this study was to identify the role of the Belsey Mark IV (BMIV) antireflux procedure in the era of minimally invasive techniques.
Methods: A single-center, retrospective cohort study was conducted.
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