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자료유형
학술저널
저자정보
Ma Xiaoming (Department of General Surgery The Second Affiliated Hospital of Soochow University Suzhou China.Dep) Zhao Mingzuo (Department of General Surgery The Affiliated Suqian Hospital of Xuzhou Medical University Suqian Ch) Wang Jian (Department of General Surgery The Affiliated Suqian Hospital of Xuzhou Medical University Suqian Ch) Pan Haixing (Department of General Surgery The Affiliated Suqian Hospital of Xuzhou Medical University Suqian Ch) Wu Jianqiang (Department of General Surgery The Affiliated Suqian Hospital of Xuzhou Medical University Suqian Ch) Xing Chungen (Department of General Surgery The Second Affiliated Hospital of Soochow University Suzhou China.)
저널정보
대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제22권 제3호
발행연도
2022.7
수록면
220 - 234 (15page)
DOI
10.5230/jgc.2022.22.e25

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Purpose The incidence of adenocarcinoma of the esophagogastric junction (AEG) has increased in recent years, and the optimal surgical strategy for AEG remains highly controversial. We aimed to evaluate the safety and efficacy of proximal gastrectomy with double-tract reconstruction (PG-DT) for the treatment of patients with AEG. Materials and Methods We retrospectively analyzed patients with Siewert type II/III AEG between January 2013 and July 2018. Clinicopathological characteristics, survival, surgical outcomes, quality of life (QOL), and nutritional status were compared between the PG-DT and total gastrectomy with Roux-en-Y anastomosis (TG-RY) groups. Results After propensity score matching, 33 patients in each group were analyzed. There were no statistical differences between the 2 groups in terms of disease-free survival and overall survival. The surgical option was not an independent prognostic factor based on the multivariate analysis. In addition, no differences were found in terms of surgical complications. There were no significant differences in QOL assessed by the Visick grade, Gastrointestinal Symptom Rating Scale, or endoscopic findings. Furthermore, the long-term nutritional advantage of the PG-DT group was significantly greater than that of the TG-RY group. Conclusions PG-DT is a safe and effective procedure for patients with local Siewert type II/III AEG, regardless of the TNM stage.

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