20240208 Comparison of clinical efficacy between laparoscopic total gastrectomy and proximal gastrectomy in the treatment of adenocarcinoma of esophagogastric junction http://zglcyj.ijournals.cn/zglcyj/ch/reader/create_pdf.aspx?file_no=20240208 10.13429/j.cnki.cjcr.2024.02.008 DAI Dezhu, SHI Jin, SONG Xudong, DING Fan, TAO Guoquan Department of Gastrointestinal Surgery, The Affiliated Huai ‘an No.1 People ‘s Hospital of Nanjing Medical University, Huai ‘an，Jiangsu 223300, China Objective To comp

• Published in: Zhongguo lin chuang yan jiu Vol. 37; no. 2; pp. 201 - 205
• Main Author: DAI Dezhu, SHI Jin, SONG Xudong, DING Fan, TAO Guoquan
• Format: Journal Article
• Language: Chinese
• Published: The Editorial Department of Chinese Journal of Clinical Research 01.02.2024
• Subjects: adenocarcinoma of esophagogastric junction; gastric tumor; lymph node dissection; proximal gastrectomy; reflux esophagitis; total gastrectomy
• ISSN: 1674-8182
• DOI: 10.13429/j.cnki.cjcr.2024.02.008

Objective To compare the advantages and disadvantages of two different resection margins by observing the clinical efficacy of laparoscopic total gastrectomy (TG) and proximal gastrectomy(PG) for radical resection of adenocarcinoma of esophagogastric junction (AEJ). Methods A total of 90 patients with AEJ who were treated by Huai ‘an No.1 People ‘s Hospital from January 2020 to December 2021 were retrospectively reviewed. Patients were divided into PG group ( n=43) and TG group ( n=47) according to the surgical resection range. The general data, surgery related statistical indicators of the two groups were compared. Results The TG group had a longer operation time than the PG group, with significantly more intraoperative blood loss and a greater number of intraoperatively cleared lymph nodes than the PG group (P＜0.05). There was no significant difference in terms of drainage volume of the abdominal drainage tubes in the 3day postoperative period, postoperative period to the drainage removal, the length of ho