Comparative Study Of Two Types Of Operation And Digestive Tract Reconstruction For Proximal Gastric Cancer

Objective To comparatively analyse the safety and feasibility of two types of operations in the proximal gastric cancer.Methods Clinical data of 128 cases of proximal gastric cancer patients admitted from February 2011 to February 2015 were analyzed retrospectively. According to the types of operations, patients were divided into group A: Total gastrectomy (uncut the suture ligation Roux-en-Y digestive tract reconstruction) and group B: Proximal gastrectomy (Esophago gastrostomy).And then several factors were analysed between the two groups, such as duration of operation, blood lose, numbers of dissected lymph node, postoperative short-term complications (intestinal obstruction, anastomotic leakage, hemoperitoneum and et al),albumin, red blood cell, and hemoglobin.Results There were no statistically significant difference of duration of operation and blood loss and postoperative short-term complications between group A and B(P>0.05).The nutritional status of group B is excel to group A. The incidence of gastro-esophageal reflux disease((Visick grading)) in group A is less than group B. By comparison endoscopic grading, esophagus reflux symptom of group B is more serious than that of group A.Conclusion Total gastrectomy (uncut the suture ligation Roux-en-Y digestive tract reconstruction) is a more ideal choice for the treatment of proximal gastric cancer compared with proximal gastrectomy (Esophago gastrostomy) . This operation can not only ensure the safety for patients but also can decrease the risk of short-term postoperative complications. Still it can significantly reduce the incidence of gastro-esophageal reflux diseases and improve the quality of life for proximal gastric cancer patients.