Safety and efficacy of laparoscopic proximal gastrectomy with SOFY versus laparoscopic total gastrectomy with Roux-en-Y for treating cT1-2 Siewert II/III adenocarcinoma of the esophagogastric junction: a single-center prospective cohort study

Purpose Side overlap with fundoplication by Yamashita (SOFY) is an anti-reflux form of esophagogastrostomy. We compared the safety and efficacy of laparoscopic proximal gastrectomy (PG) with SOFY to that of laparoscopic total gastrectomy (TG) with Roux-en-Y for treating cT1-2 Siewert II/III adenocar...

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Bibliographic Details
Published in:Langenbeck's archives of surgery 2023-01, Vol.408 (1), p.69-69, Article 69
Main Authors: Zhang, Haiqiao, Zheng, Zhi, Liu, Xiaoye, Xin, Chenglin, Huang, Yong, Li, Yuan, Yin, Jie, Zhang, Jun
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Cardiac Surgery
Esophagogastric Junction - pathology
Esophagogastric Junction - surgery
Fundoplication
Gastrectomy - adverse effects
Gastroesophageal Reflux - etiology
Gastroesophageal Reflux - surgery
General Surgery
Humans
Laparoscopy - adverse effects
Medicine
Medicine & Public Health
Postoperative Complications - surgery
Prospective Studies
Quality of Life
Retrospective Studies
Stomach Neoplasms - pathology
Thoracic Surgery
Traumatic Surgery
Treatment Outcome
Vascular Surgery
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Summary:Purpose Side overlap with fundoplication by Yamashita (SOFY) is an anti-reflux form of esophagogastrostomy. We compared the safety and efficacy of laparoscopic proximal gastrectomy (PG) with SOFY to that of laparoscopic total gastrectomy (TG) with Roux-en-Y for treating cT1-2 Siewert II/III adenocarcinoma of the esophagogastric junction. Methods Fifty-two patients who underwent PG ( n  = 28) or TG ( n  = 24), without conversion to laparotomy, were included. Surgical outcomes, complications, reflux symptoms, quality of life, and nutritional status of both groups were compared. Results Significant differences between PG and TG groups regarding operative time (245.7 versus 294.6 min, P  = 0.005), reconstruction time (22.1 versus 28.5 min, P  
ISSN:1435-2451
1435-2451
DOI:10.1007/s00423-023-02779-7