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World J Gastrointest Oncol. Mar 15, 2024; 16(3): 653-658
Published online Mar 15, 2024. doi: 10.4251/wjgo.v16.i3.653
Pylorus-preserving gastrectomy for early gastric cancer
Ke-Kang Sun, Yong-You Wu
Ke-Kang Sun, Department of Gastrointestinal Surgery, The Affiliated Kunshan Hospital to Jiangsu University, Suzhou 215300, Jiangsu Province, China
Yong-You Wu, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Soochow University, Suzhou 215008, Jiangsu Province, China
Author contributions: Sun KK performed the research and wrote the paper; Wu YY designed the research and and approved the final manuscript.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong-You Wu, FRCS (Ed), MD, MM, PhD, Chief Doctor, Director, Professor, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Soochow University, No. 1055 Sanxiang Road, Suzhou 215008, Jiangsu Province, China. wuyongyou72@126.com
Received: December 21, 2023
Peer-review started: December 21, 2023
First decision: January 10, 2024
Revised: January 15, 2024
Accepted: February 6, 2024
Article in press: February 6, 2024
Published online: March 15, 2024
Processing time: 82 Days and 1.6 Hours
Core Tip

Core Tip: Pylorus-preserving gastrectomy (PPG) has been widely accepted as a function-preserving gastrectomy for middle-third early gastric cancer. The procedure requires to preserve the upper third of the stomach and a pyloric cuff at least 2.5 cm. The hepatic and pyloric branches of the vagus nerve are usually preserved. PPG has significant advantages in preventing dumping syndrome, body weight loss and bile reflux gastritis.