A New Triangular Muscle Flap Esophagogastrostomy After Proximal Gastrectomy
Background Standardized proximal gastrectomy for upper-third gastric cancer (UGC) is lacking due to the current methods’ inability to prevent reflux and facilitate postoperative endoscopic monitoring surveillance. In this study, we provide a detailed description of proximal gastrectomy utilizing a n...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2025-12-01
|
| Series: | Journal of Investigative Surgery |
| Subjects: | |
| Online Access: | https://www.tandfonline.com/doi/10.1080/08941939.2025.2465573 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850108426492837888 |
|---|---|
| author | Guangyu Chen Zhenyu Chen Yaning Song Baifa Sheng Xiong Li Lin Zhang Yongkuan Cao Lin Xue Liye Liu |
| author_facet | Guangyu Chen Zhenyu Chen Yaning Song Baifa Sheng Xiong Li Lin Zhang Yongkuan Cao Lin Xue Liye Liu |
| author_sort | Guangyu Chen |
| collection | DOAJ |
| description | Background Standardized proximal gastrectomy for upper-third gastric cancer (UGC) is lacking due to the current methods’ inability to prevent reflux and facilitate postoperative endoscopic monitoring surveillance. In this study, we provide a detailed description of proximal gastrectomy utilizing a new triangular muscle flap for esophagogastrostomy and evaluate the postoperative outcomes of this technique.Method A total of 17 patients diagnosed with early-stage primary UGC underwent laparoscopic proximal gastrectomy between May 2021 and May 2022. Subsequently, a new triangular muscle flap was used for esophagogastrostomy.Results No in-hospital deaths occurred during the study period. However, two patients experienced complications early in the study, including one case of pulmonary infection and another of abdominal abscess infection. Importantly, none of the patients exhibited any reflux symptoms. Postoperatively, 15 patients were diagnosed with grade N/M esophagitis, one with grade A, and one with grade B. All patients are currently alive without tumor recurrence.Conclusions This surgical technique can be safely performed and demonstrates excellent results in preventing gastroesophageal reflux. Further investigation through a multi-center clinical study is warranted to confirm its efficacy. |
| format | Article |
| id | doaj-art-cddf23dd016e4920a55b5d2d7bff6e06 |
| institution | OA Journals |
| issn | 0894-1939 1521-0553 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Journal of Investigative Surgery |
| spelling | doaj-art-cddf23dd016e4920a55b5d2d7bff6e062025-08-20T02:38:22ZengTaylor & Francis GroupJournal of Investigative Surgery0894-19391521-05532025-12-0138110.1080/08941939.2025.2465573A New Triangular Muscle Flap Esophagogastrostomy After Proximal GastrectomyGuangyu Chen0Zhenyu Chen1Yaning Song2Baifa Sheng3Xiong Li4Lin Zhang5Yongkuan Cao6Lin Xue7Liye Liu8Department of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaDepartment of General surgery, The General Hospital of Western Theater Command, Chengdu, ChinaBackground Standardized proximal gastrectomy for upper-third gastric cancer (UGC) is lacking due to the current methods’ inability to prevent reflux and facilitate postoperative endoscopic monitoring surveillance. In this study, we provide a detailed description of proximal gastrectomy utilizing a new triangular muscle flap for esophagogastrostomy and evaluate the postoperative outcomes of this technique.Method A total of 17 patients diagnosed with early-stage primary UGC underwent laparoscopic proximal gastrectomy between May 2021 and May 2022. Subsequently, a new triangular muscle flap was used for esophagogastrostomy.Results No in-hospital deaths occurred during the study period. However, two patients experienced complications early in the study, including one case of pulmonary infection and another of abdominal abscess infection. Importantly, none of the patients exhibited any reflux symptoms. Postoperatively, 15 patients were diagnosed with grade N/M esophagitis, one with grade A, and one with grade B. All patients are currently alive without tumor recurrence.Conclusions This surgical technique can be safely performed and demonstrates excellent results in preventing gastroesophageal reflux. Further investigation through a multi-center clinical study is warranted to confirm its efficacy.https://www.tandfonline.com/doi/10.1080/08941939.2025.2465573Triangular muscle flapesophagogastrostomyproximal gastrectomygastric cancer |
| spellingShingle | Guangyu Chen Zhenyu Chen Yaning Song Baifa Sheng Xiong Li Lin Zhang Yongkuan Cao Lin Xue Liye Liu A New Triangular Muscle Flap Esophagogastrostomy After Proximal Gastrectomy Journal of Investigative Surgery Triangular muscle flap esophagogastrostomy proximal gastrectomy gastric cancer |
| title | A New Triangular Muscle Flap Esophagogastrostomy After Proximal Gastrectomy |
| title_full | A New Triangular Muscle Flap Esophagogastrostomy After Proximal Gastrectomy |
| title_fullStr | A New Triangular Muscle Flap Esophagogastrostomy After Proximal Gastrectomy |
| title_full_unstemmed | A New Triangular Muscle Flap Esophagogastrostomy After Proximal Gastrectomy |
| title_short | A New Triangular Muscle Flap Esophagogastrostomy After Proximal Gastrectomy |
| title_sort | new triangular muscle flap esophagogastrostomy after proximal gastrectomy |
| topic | Triangular muscle flap esophagogastrostomy proximal gastrectomy gastric cancer |
| url | https://www.tandfonline.com/doi/10.1080/08941939.2025.2465573 |
| work_keys_str_mv | AT guangyuchen anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT zhenyuchen anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT yaningsong anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT baifasheng anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT xiongli anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT linzhang anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT yongkuancao anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT linxue anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT liyeliu anewtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT guangyuchen newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT zhenyuchen newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT yaningsong newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT baifasheng newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT xiongli newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT linzhang newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT yongkuancao newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT linxue newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy AT liyeliu newtriangularmuscleflapesophagogastrostomyafterproximalgastrectomy |