Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Apr 27, 2024; 16(4): 1109-1120
Published online Apr 27, 2024. doi: 10.4240/wjgs.v16.i4.1109
Comparative analysis of two digestive tract reconstruction methods in total laparoscopic radical total gastrectomy
Tian-Xiang Dong, Dong Wang, Qun Zhao, Zhi-Dong Zhang, Xue-Feng Zhao, Bi-Bo Tan, Yu Liu, Qing-Wei Liu, Pei-Gang Yang, Ping-An Ding, Tao Zheng, Yong Li, Zi-Jing Liu
Tian-Xiang Dong, Dong Wang, Qun Zhao, Zhi-Dong Zhang, Xue-Feng Zhao, Bi-Bo Tan, Yu Liu, Qing-Wei Liu, Pei-Gang Yang, Ping-An Ding, Tao Zheng, Yong Li, Zi-Jing Liu, Third Department of Surgery of the Fourth Hospital of Hebei Medical University, Hebei Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, Shijiazhuang 050011, Hebei Province, China
Author contributions: Wang D contributed to the conception and design; Wang D and Zhao Q contributed to the provision of study materials or patients; Dong TX and Ding PA contributed to the collection and assembly of data, data analysis and interpretation; all authors contributed to the manuscript writing and final approval of manuscript.
Supported by 2024 Government-funded Clinical Medicine Talent Project, No. ZF2024122.
Institutional review board statement: This study was reviewed and approved for publication by the Medical Ethics Committee of the Fourth Hospital of Hebei Medical University, No. 2022KY136.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the Authors have no conflict of interest related to the manuscript.
Data sharing statement: The original anonymous dataset is available on request from the corresponding author at 15833981527@163.com.
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: Dong Wang, MD, Doctor, Third Department of Surgery of the Fourth Hospital of Hebei Medical University, Hebei Key Laboratory of Precision Diagnosis and Comprehensive Treatment of Gastric Cancer, No. 12 Jiankang Road, Changan District, Shijiazhuang 050011, Hebei Province, China. 15833981527@163.com
Received: January 19, 2024
Peer-review started: January 19, 2024
First decision: February 5, 2024
Revised: February 27, 2024
Accepted: March 26, 2024
Article in press: March 26, 2024
Published online: April 27, 2024
Core Tip

Core Tip: We statistically analyzed the clinical results of patients with gastric cancer who underwent jejunal interposition double-tract reconstruction (DTR) and esophageal jejunum Roux-en-Y reconstruction (RY). Finally, it was found that compared to RY, DTR can improve postoperative life treatment, improve postoperative nutritional status, and reduce the incidence of gallbladder disease. It can also provide a duodenal pathway for endoscopic retrograde cholangio pancreatography, representing a better digestive tract reconstruction method than traditional Roux-en-Y esophagojejunostomy.