AB35. The application of modified double tracks anastomosis in patients with adenocarcinoma of the esophagogastric junction treated with radical gastrectomy
Abstract

AB35. The application of modified double tracks anastomosis in patients with adenocarcinoma of the esophagogastric junction treated with radical gastrectomy

Qun Zhao, Yong Li, Pei-Gang Yang, Zhan-Ran Wang, Li-Qiao Fan, Zhi-Kai Jiao, Xüe-Feng Zhao, Dong Wang, Bi-Bo Tan

Department of General Surgery, The Fourth Affiliated Hospital, Hebei Medical University, Shijiazhuang 050011, China

Objective: To retrospectively analyze clinical data of II/III adenocarcinoma of the esophagogastric junction in radical proximal gastrectomy and radical total gastrectomy. To discuss the value of Modified Double Tracks Anastomosis application in adenocarcinoma of the esophagogastric junction II/III treated with radical gastrectomy.

Methods: 763 patients with esophagogastric junction adenocarcinoma patients were divided into 3 groups according to the different operation modes. Group A: radical proximal gastrectomy, modified double tracks anastomosis; group B: radical proximal gastrectomy, esophageal gastric stump end to side anastomosis; group C: Radical total gastrectomy, esophageal jejunum Roux-en-Y anastomosis. There were no significant differences in general information and biological characteristics among the 3 groups (all P>0.05), compared with the operation, postoperative effect and prognosis.

Results: The operation time of group A was longer than that of group B and group C (all P<0.05), but there was no significant difference on the postoperative complications compared with group B and group C (all P>0.05). The number of dissected No.5, No.6 lymph node of group A was lower than that of group C, but there was no significant difference (P>0.05). 1 year after operation, the quality of life in group A were superior to group B and group C, gastroesophageal reflux symptoms of Visick scores and endoscopic grading were better than those of group B (all P<0.05), nutrition state of recovery were superior to group B and group C (all P<0.05). On the recurrent rate of gastric stump, there was no significant difference between group A and group B (P>0.05). Compared with group B and group C, there were no significant difference on the 3-year overall survival rate (all P>0.05).

Conclusions: Modified double tracks anastomosis is an ideal operation for adenocarcinoma of the esophagogastric junction.

Keywords: Adenocarcinoma of the esophagogastric junction; modified double tracks anastomosis; reflux

Cite this abstract as: Zhao Q, Li Y, Yang PG, Wang ZR, Fan LQ, Jiao ZK, Zhao XF, Wang D, Tan BB. The application of modified double tracks anastomosis in patients with adenocarcinoma of the esophagogastric junction treated with radical gastrectomy. Transl Gastrointest Cancer 2013;2(S1):AB35. doi: 10.3978/j.issn.2224-4778.2013.s035