Skip to main content

Table.2 Operative results and post-operative courses

From: Functional benefits of the double flap technique after proximal gastrectomy for gastric cancer

 

DEG (N = 9)

JIP (N = 10)

DTR (N = 14)

DFT (N = 36)

p-value

Extent of dissection (%)

 D1

5 (55.6%)

4 (40.0%)

4 (28.6%)

3 (8.3%)

 < 0.001*

 D1 + 

4 (44.4%)

6 (60.0%)

10 (71.4%)

33 (91.7%)

 

Approach

 Open laparotomy

6 (66.7%)

10 (100%)

0 (0%)

3 (8.3%)

 < 0.001*

 HALS

1 (11.1%)

0 (0%)

0 (0%)

0 (0%)

 

 Laparoscopy

2 (22.2%)

0 (0%)

14 (100%)

20 (55.6%)

 

 Robotic laparoscopy

0 (0%)

0 (0%)

0 (0%)

13 (36.1%)

 

Depth of invasion (%)

 T1a

2 (22.2%)

0 (0%)

4 (28.6%)

5 (13.9%)

0.446

 T1b

5 (55.6%)

9 (90.0%)

8 (57.1%)

22 (61.1%)

 

 T2

0 (0%)

1 (10.0%)

1 (7.1%)

7 (19.4%)

 

 T3

1(11.1%)

0 (0%)

1 (7.1%)

1 (2.8%)

 

 T4a

1 (11.1%)

0 (0%)

0 (0%)

1 (2.8%)

 

Lymph node metastasis

 N0

9 (100.0%)

10 (100.0%)

12 (85.7%)

33 (91.7%)

0.462

 N1

0 (0%)

0 (0%)

1 (7.1%)

3 (8.3%)

 

 N2

0 (0%)

0 (0%)

1 (7.1%)

0 (0%)

 

Pathological Stage(UICC 7th)

 IA

7 (77.8%)

9 (90.0%)

11(78.6%)

26 (72.2%)

0.590

 IB

0 (0%)

1 (10.0%)

1 (7.1%)

8 (22.2%)

 

 IIA

1 (11.1%)

0 (0%)

1 (7.1%)

1 (2.8%)

 

 IIB

1 (11.1%)

0 (0%)

1 (7.1%)

1 (2.8%)

 

 Hospital stay (days, mean ± SD)

18.1 ± 5.8

15.2 ± 5.6

12.2 ± 3.6

10.5 ± 3.3

 < 0.001*

Short-term complications

 CDa grade II

  Ileus

0 (0%)

0 (0%)

1 (7.1%)

3 (8.3%)

0.650

  Pneumonia

0 (0%)

0 (0%)

1 (7.1%)

0 (0%)

0.263

  Postoperative hemorrhage (%)

1 (11.1%)

1 (10%)

0 (0%)

1 (2.8%)

0.456

  Anastomotic leakage

0 (0%)

0 (0%)

0 (0%)

1 (2.8%)

0.818

  Pancreatic fistula

0 (0%)

0 (0%)

1 (7.1%)

1 (2.8%)

0.690

Long-term complications

 Anastomotic stenosisb

1 (11.1%)

1 (10%)

3 (21.4%)

3 (8.3%)

0.935

 Reflux esophagitisc

2 (22.2%)

1 (10%)

3 (21.4%)

0 (0%)

0.203

 Gastric residuald

3 (33.3%)

7 (70%)

2 (14.3%)

5 (13.9%)

0.017*

 PPIe administration

8 (88.9%)

5 (50%)

2 (14.3%)

6 (16.7%)

 < 0.001

  1. Hospital stay in the DFT group was the shortest, and was significantly shorter than those in the DEG and JIP groups. A comparison of long-term complications showed no significant differences regarding rate of anastomotic stenosis. Reflux esophagitis did not occur in the DFT group, which also had the least frequent gastric residual
  2. aClavien–Dindo classification
  3. bAnastomotic stenosis which required balloon dilatation
  4. cReflux esophagitis grade ≥ A in Los Angeles classification
  5. dGastric residual observed by endoscopy at 1 year after surgery
  6. ePost-operative proton pump inhibitor administration
  7. *Statistically significant