Postoperative quality of life after laparoscopy-assisted pylorus-preserving gastrectomy compared With laparoscopy-assisted distal gastrectomy: A cross-sectional postal questionnaire survey

Hosoda, Kei; Yamashita, Keishi; Sakuramoto, Shinichi; Katada, Natsuya; Moriya, Hiromitsu; Mieno, Hiroaki; Watanabe, Masahiko

doi:10.1016/j.amjsurg.2016.09.041

Cited by 37 publications

(37 citation statements)

References 18 publications

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“…1 3 rate. For early gastric cancer, surgeons started to consider functional preserving gastrectomy to improve the functional outcome and quality of life (QOL) without compromising oncological safety [5][6][7][8][9][10]. Pylorus-preserving gastrectomy (PPG) is such kind of function-preserving surgery, which has gained popularity in East Asian countries [5,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Pylorus-preserving gastrectomy for early cancer involving the upper third: can we go higher?

et al. 2019

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Background Pylorus-preserving gastrectomy (PPG) is commonly performed for early gastric cancer (EGC) located in middle third of the stomach. We investigated the surgical, oncological, and functional outcomes of PPG involving the upper third of stomach. Methods We included all patients of the period 2013-2016 who underwent PPG, distal subtotal gastrectomy (DSG), and total gastrectomy (TG) for EGC involving the upper third by carefully defining the localization. Surgical, oncological, and functional outcome analyses included postoperative morbidity, lymph-node metastasis, tumor recurrence, postoperative body weight, body mass index, hemoglobin, total protein, albumin, quantification of intraabdominal fat, and gallstone development.Results Overall, 288 cases were analyzed: 145 PPG, 61 DSG, and 82 TG. In the study period, patients potentially underwent PPG for EGC involving the upper third, if enough proximal remnant stomach was found whilst achieving a sufficient proximal margin. PPG resulted in less operation time (p < 0.001), less blood loss (p = 0.002) and lower postoperative morbidity compared to TG. For lymph-node (LN) stations being resected in all groups, no difference was found in number of resected LN. Recurrence-free survival was similar for all groups. PPG showed advantages regarding postoperative body weight, hemoglobin, total protein, albumin in postoperative 6 and 12 month follow-up. Lowest decrease of abdominal fat area after 12 months was seen for PPG. Gallstone incidence was significantly lower after PPG compared to TG (p < 0.001). Conclusions For EGC involving the upper third, PPG can be another good option with lower postoperative morbidity, better functional outcomes, and same oncological safety.

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Section: Introductionmentioning

confidence: 99%

Pylorus-preserving gastrectomy for early cancer involving the upper third: can we go higher?

et al. 2019

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“…In a recent report that compared LAPPG and LADG, decreases in nutritional status after LADG were significantly greater than after LAPPG, and the 3-year cumulative incidence rate of gallstones was significantly higher after LADG than after LAPPG, probably because of damage to the function of the hepatic branch of the vagal nerve (17). We recently reported that LAPPG is superior to LADG for ameliorating post-gastrectomy syndrome and maintaining postoperative quality of life (28). Although LAPPG may carry the risk of gastric stasis, we believe, based on these results, that LAPPG should be performed in patients with early-stage gastric cancer.…”

Section: Discussionmentioning

confidence: 98%

Patients’ preoperative background causes gastric stasis after laparoscopy‐assisted pylorus‐preserving gastrectomy

Nishizawa

Hosoda

Moriya

et al. 2018

Asian J Endoscop Surgery

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“…It was reported that PPG has the benefits in postoperative nutrition and can reduce the incidence of bile reflux, dumping syndrome, and cholelithiasis meanwhile [34] . However, some surgeons worry that the intracorporeal reconstruction may lead to micro-dissemination of free cancer cells left over in the remnant gastric lumen [35] .…”

Section: B-i Reconstructionmentioning

confidence: 99%

Digestive tract reconstruction options after laparoscopic gastrectomy for gastric cancer

Shen¹,

Ma²,

Yang³

et al. 2019

WJGO

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Postoperative quality of life after laparoscopy-assisted pylorus-preserving gastrectomy compared With laparoscopy-assisted distal gastrectomy: A cross-sectional postal questionnaire survey

Cited by 37 publications

References 18 publications

Pylorus-preserving gastrectomy for early cancer involving the upper third: can we go higher?

Pylorus-preserving gastrectomy for early cancer involving the upper third: can we go higher?

Patients’ preoperative background causes gastric stasis after laparoscopy‐assisted pylorus‐preserving gastrectomy

Digestive tract reconstruction options after laparoscopic gastrectomy for gastric cancer

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