Digestive tract reconstruction after laparoscopic proximal gastrectomy: Double tract reconstruction or double flap technique?
2025

Comparing Two Surgical Techniques for Stomach Reconstruction

Sample size: 72 publication Evidence: moderate

Author Information

Author(s): Lindi Cai, Guanglin Qiu, Mengke Zhu, Shangning Han, Pengwei Zhao, Panxing Wang, Xiaowen Li, Xinhua Liao, Xiangming Che, Lin Fan

Primary Institution: The First Affiliated Hospital of Xi'an Jiaotong University

Hypothesis

Is the double flap technique (DFT) superior to double tract reconstruction (DTR) in short-term clinical outcomes after laparoscopic proximal gastrectomy?

Conclusion

The double flap technique is a better option than double tract reconstruction for quicker recovery and better nutritional outcomes after stomach surgery.

Supporting Evidence

  • DFT had a shorter time for gas-passing and starting diet compared to DTR.
  • Patients in the DFT group had better nutritional status at 12 months post-surgery.
  • Both techniques had similar rates of early and late complications.

Takeaway

Doctors compared two ways to fix the stomach after surgery. One way helped patients feel better and recover faster.

Methodology

Patients who had laparoscopic proximal gastrectomy were reviewed, and their outcomes were compared using propensity score matching.

Potential Biases

Selection bias may exist due to the retrospective nature of the study.

Limitations

The study is retrospective, which may introduce selection bias, and it only reports short-term outcomes.

Participant Demographics

Patients with proximal gastric cancer treated at the First Affiliated Hospital of Xi'an Jiaotong University.

Statistical Information

P-Value

p<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1002/ags3.12857

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