Retrospective Cohort Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2022; 14(2): 120-131
Published online Feb 27, 2022. doi: 10.4240/wjgs.v14.i2.120
Long-term outcomes of postgastrectomy syndrome after total laparoscopic distal gastrectomy using the augmented rectangle technique
Suguru Yamauchi, Hajime Orita, Jun Chen, Hiroki Egawa, Yutaro Yoshimoto, Akira Kubota, Ryota Matsui, Yukinori Yube, Sanae Kaji, Shinichi Oka, Malcolm V Brock, Tetsu Fukunaga
Suguru Yamauchi, Hajime Orita, Jun Chen, Hiroki Egawa, Yutaro Yoshimoto, Akira Kubota, Ryota Matsui, Yukinori Yube, Sanae Kaji, Shinichi Oka, Tetsu Fukunaga, Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, Tokyo 113-8431, Japan
Malcolm V Brock, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21205-2196, United States
Author contributions: Yamauchi S, Orita H Matusi R, Yube Y, Kaji S, Orita H, Brock MV and Fukunaga T contributed to writing of the manuscript; Yamauchi S, Orita H, Jun C, Egawa H, Yoshimoto Y, Yube Y, Kaji S and Oka S contributed to performing the procedures and analyzing the data; Yamauchi S and Yoshimoto Y contributed to statistical review; Orita H, Fukunaga T and Brock MV contributed to the conception and design of this work.
Institutional review board statement: The study was conducted according to the guidelines of the Declaration of Helsinki, and approved by the Ethics Committee of Juntendo University Hospital (Approval No. 20-192).
Informed consent statement: The study design was retrospective and a noninterventional study. Patients were not required to give informed consent to the study because the analysis used anonymized clinical data that were obtained after each patient agreed to treatment by written consent. We also applied an opt-out method to obtain consent for this study. The opt-out approach was used with website disclosure (URL: https://www.gcprec.juntendo.ac.jp/kenkyu/files/6379827945f9a62a8f32ec.pdf).
Conflict-of-interest statement: The authors declare having no conflicts of interest.
Data sharing statement: The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request. The data is not publicly available due to patient privacy and the General Data Protection Regulation.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
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: Suguru Yamauchi, MD, Doctor, Surgeon, Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital, 3-1-3 Hongo, Bunkyo-ku, Tokyo 113-8431, Japan. s.yamauchi.gk@juntendo.ac.jp
Received: October 7, 2021
Peer-review started: October 7, 2021
First decision: December 4, 2021
Revised: December 15, 2021
Accepted: February 10, 2022
Article in press: February 10, 2022
Published online: February 27, 2022
Core Tip

Core Tip: Reducing the prevalence of postgastrectomy syndrome (PGS) and improving the quality of life (QOL) after gastrectomy for gastric cancer patients has become an important technical challenge for surgeons. We developed the augmented rectangle technique (ART) for Billroth I reconstruction after total laparoscopic distal gastrectomy. Our patient outcome results have been good in the short-term. Long-term patient outcomes have not been studied. Here, we evaluated PGS and QOL after gastrectomy with ART using the Postgastrectomy Syndrome Assessment Scale-37. Application of ART produced beneficial long-term PGS and QOL results in patients undergoing total laparoscopic distal gastrectomies.