Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2023; 15(9): 1986-1994
Published online Sep 27, 2023. doi: 10.4240/wjgs.v15.i9.1986
Effect of two surgical approaches on the lung function and prognosis of patients with combined esophagogastric cancer
Chong-Bing Sun, Xiao-Qing Han, Hao Wang, Yi-Xuan Zhang, Meng-Chun Wang, Yong-Ning Liu
Chong-Bing Sun, Hao Wang, Meng-Chun Wang, Yong-Ning Liu, Department of General Surgery, Weifang People's Hospital, Weifang 261041, Shandong Province, China
Xiao-Qing Han, Department of Spinal Surgery, Weifang People's Hospital, Weifang 261041, Shandong Province, China
Yi-Xuan Zhang, Department of Medical, Weifang People's Hospital, Weifang 261041, Shandong Province, China
Author contributions: Sun CB and Liu YN designed the research study; Sun CB, Han XQ and Wang H performed the research; Zhang YX contributed new reagents and analytic tools; Wang MC and Sun CB analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Weifang People's Hospital Institutional Review Board, No. AF/SQ-01/01.0.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
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-Ning Liu, MSc, Attending Doctor, Department of General Surgery, Weifang People's Hospital, No. 151 Kuiwen District, Weifang 261041, Shandong Province, China. rmyyliuyn@wfmc.edu.cn
Received: May 24, 2023
Peer-review started: May 24, 2023
First decision: June 13, 2023
Revised: July 4, 2023
Accepted: July 31, 2023
Article in press: July 31, 2023
Published online: September 27, 2023
ARTICLE HIGHLIGHTS
Research background

Different types of esophagogastric junction adenocarcinoma have different operation methods.

Research motivation

We need to determine the optimal surgical approach for Siewert II adenocarcinoma of the esophagogastric junction to improve lung function and the prognosis of patients.

Research objectives

To investigate and compare the surgical effects, postoperative changes in pulmonary function, and prognoses of two approaches to treating combined esophagogastric cancer.

Research methods

Patients with esophageal gastric cancer who received combined treatment in our hospital were selected, and the relevant indicators were compared after grouping.

Research results

The transabdominal approach has the advantages of less trauma, less impact on lung function and fewer complications.

Research conclusions

Transabdominal surgical approaches is suitable for older patients with frailty, cardiopulmonary insufficiency, or more complicated diseases.

Research perspectives

It was a single-center retrospective study with a short duration of follow-up. Therefore, the results need to be confirmed by prospective, multicenter, randomized controlled clinical studies.