Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.2003
Peer-review started: June 30, 2023
First decision: July 18, 2023
Revised: July 24, 2023
Accepted: August 8, 2023
Article in press: August 8, 2023
Published online: September 27, 2023
Esophageal gastric anastomosis is a common surgical technique used to treat patients with gastric cancer who undergo total gastrectomy. However, using simple anastomosis techniques alone may not meet the needs of patients in some cases and can lead to complications such as anastomotic stenosis and ulceration. In order to overcome these issues and improve patient prognosis, muscle flap reconstruction technique has emerged. Muscle flap reconstruction is a method of improving gastric-esophageal anastomosis by transplanting muscle tissue. By covering the anastomotic site with muscle tissue, it not only enhances the stability of the anastomosis site but also increases blood supply, promoting healing and recovery of the anastomosis. Therefore, the use of muscle flap reconstruction technique in esophageal gastric anastomosis during total gastrectomy for gastric cancer is increasingly widely applied.
To determine the effectiveness of esophagogastric anastomosis using the muscle flap reconstruction technology in total abdominal gastrectomy for gastric cancer and perform follow-up experiments to understand the factors affecting patients’ prognosis.
The study subjects were 60 patients with gastric cancer who were admitted to our hospital between October 2018 and January 2022. All patients underwent esopha
The operation time was 318 ± 43 min, the formation time of esophageal double muscle flap anastomosis was 110 ± 13 min, the number of lymph node dissections was 26 ± 6, the incision length was 3 ± 0.6 cm, intraoperative bleeding volume was 48 ± 15 mL, first anal exhaust time was 5.3 ± 1.8 d, first meal time was 6.0 ± 1.6 d, length of hospital stay was 11.8 ± 2.5, and treatment cost was 5.8 ± 0.7 thousand yuan. The patient experienced three post
Esophagogastric anastomotic using muscle flap reconstruction exhibits good effects on patients who undergo total abdominal gastrectomy for cancer. Postoperative adjuvant radiotherapy and chemotherapy are the main factors affecting patient prognosis.
Core Tip: This study evaluated the effectiveness of esophagogastric anastomosis using muscle flap reconstruction technology in total abdominal gastrectomy for gastric cancer. The study found that this technique had positive effects on patient outcomes, and postoperative adjuvant radiotherapy and chemotherapy were important factors affecting prognosis. Univariate analysis revealed that histological types, tumor size, tumor-node-metastasis staging, vascular invasion, and postoperative adjuvant radiotherapy and chemotherapy were major factors affecting the prognosis of surviving patients. Cox regression analysis showed that postoperative adjuvant radiotherapy and chemotherapy were the main factors affecting overall patient prognosis. The findings of this study may contribute to improving treatment options and decision-making for patients with gastric cancer undergoing total abdominal gastrectomy, ultimately leading to better patient outcomes.