2017
DOI: 10.1007/s00464-017-5429-9
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Laparoscopic proximal gastrectomy with double tract reconstruction is superior to laparoscopic total gastrectomy for proximal early gastric cancer

Abstract: LPG with DTR maintained comparable oncological safety and anastomosis-related late complications compared to LTG and is preferred over LTG in terms of preventing postoperative anemia and vitamin B deficiency.

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Cited by 112 publications
(194 citation statements)
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“…Double tract reconstruction is a protective factor against postoperative re ux esophagitis after proximal gastrectomy. Considering the reconstruction procedure, it is possible that the mechanism of anti-re ux function is mainly attributed to the lifted jejunum between esophagojejunostomy and gastrojejunostomy [20,21].…”
Section: Discussionmentioning
confidence: 99%
“…Double tract reconstruction is a protective factor against postoperative re ux esophagitis after proximal gastrectomy. Considering the reconstruction procedure, it is possible that the mechanism of anti-re ux function is mainly attributed to the lifted jejunum between esophagojejunostomy and gastrojejunostomy [20,21].…”
Section: Discussionmentioning
confidence: 99%
“…However, the incidence of reflux was high due to the compromised lower esophageal sphincter (LES) and lack of the angle of His. Moreover, the compromised pyloric ring and contracture of the pyloric sphincter could easily lead to gastric emptying disorders and further aggravate reflux [24,25].…”
Section: Discussionmentioning
confidence: 99%
“…After screening the title and abstract, 49 studies were evaluated via full-text articles. At last, seven articles [7,[12][13][14][15][16][17] published were included for quantitative synthesis from 2016 to 2018. The flow diagram were summarized is shown in Fig.…”
Section: Literature Searchmentioning
confidence: 99%