A continuous muscle-sparing advantage of pylorus-preserving gastrectomy for older patients with cT1N0M0 gastric cancer in the middle third of the stomach

Terayama, Masayoshi; Ohashi, Manabu; Makuuchi, Rie; Hayami, Masaru; Ida, Satoshi; Kumagai, Koshi; Sano, Takeshi; Nunobe, Souya

doi:10.1007/s10120-022-01345-2

Cited by 4 publications

(1 citation statement)

References 32 publications

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“…Recent studies have shown that compared with DG, PPG can maintain body weight and better postoperative nutritional status[ 25 , 27 , 28 ]. Terayama et al [ 29 ] compared postoperative skeletal muscle index between PPG and DG in in old EGC patients, and the result showed a great advantage in maintaining the postoperative skeletal muscle mass after PPG. Moreover, the retention of the hepatic branches could also reduce the occurrence of cholestasis and gallbladder stones.…”

Section: Postoperative Complicationmentioning

confidence: 99%

Pylorus-preserving gastrectomy for early gastric cancer

Sun,

2024

World J Gastrointest Oncol

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Pylorus-preserving gastrectomy (PPG) has been widely accepted as a function-preserving gastrectomy for middle-third early gastric cancer (EGC) with a distal tumor border at least 4 cm proximal to the pylorus. The procedure essentially preserves the function of the pyloric sphincter, which requires to preserve the upper third of the stomach and a pyloric cuff at least 2.5 cm. The suprapyloric and infrapyloric vessels are usually preserved, as are the hepatic and pyloric branches of the vagus nerve. Compared with distal gastrectomy, PPG has significant advantages in preventing dumping syndrome, body weight loss and bile reflux gastritis. The postoperative complications after PPG have reached an acceptable level. PPG can be considered a safe, effective, and superior choice in EGC, and is expected to be extensively performed in the future.

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