Textbook Outcome of Delta-Shaped Anastomosis in Minimally Invasive Distal Gastrectomy for Gastric Cancer in 4,505 Consecutive Patients.

IF 3.2 4区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Journal of Gastric Cancer Pub Date : 2024-07-01 DOI:10.5230/jgc.2024.24.e29

Seul-Gi Oh, Suin Lee, Ba Ool Seong, Chang Seok Ko, Sa-Hong Min, Chung Sik Gong, Beom Su Kim, Moon-Won Yoo, Jeong Hwan Yook, In-Seob Lee

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引用次数: 0

Abstract

Purpose: Textbook outcome is a comprehensive measure used to assess surgical quality and is increasingly being recognized as a valuable evaluation tool. Delta-shaped anastomosis (DA), an intracorporeal gastroduodenostomy, is a viable option for minimally invasive distal gastrectomy in patients with gastric cancer. This study aims to evaluate the surgical outcomes and calculate the textbook outcome of DA.

Materials and methods: In this retrospective study, the records of 4,902 patients who underwent minimally invasive distal gastrectomy for DA between 2009 and 2020 were reviewed. The data were categorized into three phases to analyze the trends over time. Surgical outcomes, including the operation time, length of post-operative hospital stay, and complication rates, were assessed, and the textbook outcome was calculated.

Results: Among 4,505 patients, the textbook outcome is achieved in 3,736 (82.9%). Post-operative complications affect the textbook outcome the most significantly (91.9%). The highest textbook outcome is achieved in phase 2 (85.0%), which surpasses the rates of in phase 1 (81.7%) and phase 3 (82.3%). The post-operative complication rate within 30 d after surgery is 8.7%, and the rate of major complications exceeding the Clavien-Dindo classification grade 3 is 2.4%.

Conclusions: Based on the outcomes of a large dataset, DA can be considered safe and feasible for gastric cancer.

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连续 4,505 例胃癌微创远端胃切除术中 Delta 型吻合术的教科书式结果。

目的：教科书结果是一种用于评估手术质量的综合措施，越来越被认为是一种有价值的评估工具。德尔塔形吻合术（DA）是一种体腔内胃十二指肠造口术，是胃癌患者进行微创远端胃切除术的可行选择。本研究旨在评估DA的手术效果并计算教科书结果：在这项回顾性研究中，研究人员回顾了 2009 年至 2020 年间接受微创远端胃切除术治疗的 4902 例 DA 患者的病历。数据分为三个阶段，以分析随时间变化的趋势。评估了手术结果，包括手术时间、术后住院时间和并发症发生率，并计算了教科书结果：结果：在 4,505 名患者中，3,736 人（82.9%）达到了教科书上的结果。术后并发症对疗效的影响最大（91.9%）。第 2 阶段的手术并发症发生率最高（85.0%），超过了第 1 阶段（81.7%）和第 3 阶段（82.3%）。术后 30 d 内的并发症发生率为 8.7%，超过 Clavien-Dindo 分级 3 级的主要并发症发生率为 2.4%：结论：根据大型数据集的结果，可以认为DA治疗胃癌是安全可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Gastric Cancer Biochemistry, Genetics and Molecular Biology-Cancer Research

CiteScore

4.30

自引率

12.00%

发文量

期刊介绍： The Journal of Gastric Cancer (J Gastric Cancer) is an international peer-reviewed journal. Each issue carries high quality clinical and translational researches on gastric neoplasms. Editorial Board of J Gastric Cancer publishes original articles on pathophysiology, molecular oncology, diagnosis, treatment, and prevention of gastric cancer as well as articles on dietary control and improving the quality of life for gastric cancer patients. J Gastric Cancer includes case reports, review articles, how I do it articles, editorials, and letters to the editor.