Clinical efficacy of modified Kamikawa anastomosis in patients with laparoscopic proximal gastrectomy  

作　　者：Chu-Ying Wu Jian-An Lin Kai Ye 

机构地区：[1]Department of Gastrointestinal Surgery,The Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,Fujian Province,China

出　　处：《World Journal of Gastrointestinal Surgery》2024年第1期113-123,共11页世界胃肠外科杂志（英文版）（电子版）

基　　金：Supported by the Fujian Medical University Sailing Fund General Project,No.2022QH1117;Key Clinical Specialty Discipline Construction Program of Fujian,Fujian Health Medicine and Politics,No.[2022]884.

摘　　要：BACKGROUND With the increasing incidence of proximal gastric cancer,laparoscopic proximal gastrectomy has been applied.However,reflux esophagitis often occurs after traditional esophagogastric anastomosis.In order to solve this problem,several methods of digestive tract reconstruction have emerged,but the most satisfying method remains to be discussed.Therefore,we modified traditional Kamikawa anastomosis to investigate the appropriate digestive tract reconstruction in laparo-scopic proximal gastrectomy.All the patients were successfully operated on without conversion to laparotomy.The duration of operation and digestive tract reconstruction were 203.500(150-224)min and 87.500(73-111)min,respectively.The intraoperative amount of bleeding was 20.500 mL±0.696 mL.The time of postoperative first flatus,the first postoperative fluid intake,and the postoperative length of stay were 2(1-3)d,4(3-5)d,and 9(8-10)d,respectively.All the patients were followed up for 12-23 months.The body mass index at 6 and 12 months after surgery were 22.577 kg/m2±3.098 kg/m2 and 22.594 kg/m2±3.207 kg/m2,respectively.The nutrition risk screening 2002 score,the patient-generated subjective global assessment score,and the gastroesophageal reflux disease scale score were good at 6 and 12 months after surgery.Reflux esophagitis and anastomotic stenosis were not observed in any of the patients during their 12-month postoperative gastroscopy or upper gastrointestinal tract visits.All the patients exhibited no tumor recurrence or metastasis.CONCLUSION The modified Kamikawa anastomosis is safe and feasible for laparoscopic proximal gastrectomy and has good antireflux effects and nutritional status.

关 键 词：Modified Kamikawa anastomosis LAPAROSCOPY Proximal gastrectomy ANTIREFLUX 

分 类 号：R656.61[医药卫生—外科学]