Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2024; 16(1): 113-123
Published online Jan 27, 2024. doi: 10.4240/wjgs.v16.i1.113
Clinical efficacy of modified Kamikawa anastomosis in patients with laparoscopic proximal gastrectomy
Chu-Ying Wu, Jian-An Lin, Kai Ye
Chu-Ying Wu, Jian-An Lin, Kai Ye, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, Fujian Province, China
Co-first authors: Chu-Ying Wu and Jian-An Lin.
Author contributions: Wu CY and Lin JA contributed equally to the study; Wu CY contributed to data curation, original draft preparation, project administration, and funding acquisition; Lin JA contributed to software, writing, review, and editing; Kai Y contributed to conceptualization, supervision, and funding acquisition; all authors have read and agreed to the published version of the manuscript.
Supported by the Fujian Medical University Sailing Fund General Project, No. 2022QH1117; and Key Clinical Specialty Discipline Construction Program of Fujian, Fujian Health Medicine and Politics, No. [2022]884.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Second Affiliated Hospital of Fujian Medical University (Approval No. 2022219).
Informed consent statement: The requirement for informed consent was waived by the Ethics Committee considering the retrospective design of the study.
Conflict-of-interest statement: All authors report no conflicts of interest.
Data sharing statement: The datasets that were used and/or analyzed during the current study are available from the corresponding author upon reasonable request.
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: Kai Ye, MD, Chief Doctor, Dean, Professor, Research Dean, Surgeon, Surgical Oncologist, Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Fujian Medical University, No. 950 Donghai Street, Quanzhou 362000, Fujian Province, China. medwcy@163.com
Received: October 12, 2023
Peer-review started: October 12, 2023
First decision: December 15, 2023
Revised: December 20, 2023
Accepted: January 10, 2024
Article in press: January 10, 2024
Published online: January 27, 2024
ARTICLE HIGHLIGHTS
Research background

The incidence of reflux esophagitis after proximal gastrectomy is high, and the proper reconstruction of digestive tract is still controversial.

Research motivation

To explore the appropriate digestive tract reconstruction method in laparoscopic proximal gastrectomy to reduce the occurrence of postoperative reflux while ensuring the safety and feasibility of the operation.

Research objectives

To explore the clinical efficacy of modified Kamikawa anastomosis in laparoscopic proximal gastrectomy.

Research methods

We retrospectively collected clinicopathological data of patients who underwent laparoscopic proximal gastrectomy and modified Kamikawa anastomosis. The intraoperative conditions, postoperative conditions and follow-up were analyzed.

Research results

The operation of 26 patients was successful and the postoperative recovery was good. No reflux esophagitis and anastomotic stenosis were found in all patients during postoperative follow-up, and their nutritional status was satisfactory.

Research conclusions

The modified Kamikawa anastomosis in laparoscopic proximal gastrectomy shows satisfactory antireflux effect and is safe and feasible during operation. We can use this procedure in laparoscopic proximal gastrectomy.

Research perspectives

A multicenter prospective study should be performed to verify our modified method.