Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan
Anticancer Res. 2022 Jul;42(7):3645-3652. doi: 10.21873/anticanres.15853.
BACKGROUND/AIM: Postoperative nutritional management for esophago-gastric junction cancer (EGJC) has become increasingly important. This study compared the nutritional status of patients with EGJC who underwent gastric tube reconstruction versus esophago-gastric anastomosis.
Mediastinoscopic esophagectomy with gastric tube reconstruction was performed in 17 cases (group GT) and laparoscopic proximal gastrectomy with esophago-gastric anastomosis in 33 cases (group EG). The perioperative characteristics and nutritional status of the two groups in the 2 years postoperatively were compared.
Group GT had a significantly higher level of serum total protein at 24 months postoperatively than did group EG. No other significant differences in postoperative nutritional status were observed between the groups.
Gastric tube reconstruction for EGJC was not inferior to esophago-gastric anastomosis in terms of nutritional status. It is a candidate surgical procedure to avoid higher mediastinal anastomosis.
背景/目的：食管胃结合部癌（EGJC）术后营养管理变得越来越重要。本研究比较了胃管重建与食管胃吻合术治疗 EGJC 患者的营养状况。
17 例行胸腔镜下食管切除术+胃管重建（GT 组），33 例行腹腔镜近端胃切除术+食管胃吻合术（EG 组）。比较两组患者术后 2 年内的围手术期特点和营养状况。
GT 组术后 24 个月血清总蛋白水平明显高于 EG 组。两组术后营养状况无其他显著差异。
对于 EGJC，胃管重建在营养状况方面并不逊于食管胃吻合术。它是一种避免更高的纵隔吻合的候选手术方法。
