{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T11:58:24Z","timestamp":1778500704605,"version":"3.51.4"},"reference-count":31,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T00:00:00Z","timestamp":1642032000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003645","name":"National Cancer Center","doi-asserted-by":"publisher","award":["NCC 1410130-1,2,3 , NCC 1710120-1,2,3, NCC2010090-1,2,3"],"award-info":[{"award-number":["NCC 1410130-1,2,3 , NCC 1710120-1,2,3, NCC2010090-1,2,3"]}],"id":[{"id":"10.13039\/501100003645","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>We introduced SPADE operation, a novel anastomotic method after laparoscopic proximal gastrectomy (PG). Technical modifications were performed and settled. This report aimed to demonstrate the short-term clinical outcomes after settlement. Data from 34 consecutive patients who underwent laparoscopic PG with SPADE between June 2017 and March 2020 were retrospectively reviewed. Reflux was evaluated based on the patients\u2019 symptoms and follow-up endoscopy using Los Angeles (LA) classification and RGB Classification (Residue, Gastritis, Bile). Other complications were classified using the Clavien\u2013Dindo method. The incidence of reflux esophagitis was 2.9% (1\/34). Bile reflux was observed in six patients (17.6%), and residual food was observed in 16 patients (47.1%) in the endoscopy. Twenty-eight patients had no reflux symptoms (82.4%), while five patients (14.7%) and one patient (2.9%) had mild and moderate reflux symptoms, respectively. The rates of anastomotic stricture and ileus were 14.7% (5\/34) and 11.8% (4\/34), respectively. No anastomotic leakage was observed. The incidence of major complications (Clavien-Dindo grade III or higher) was 14.7%. The SPADE operation following laparoscopic PG is effective in reducing gastroesophageal reflux. Its clinical usefulness should be validated using prospective clinical trials.<\/jats:p>","DOI":"10.3390\/cancers14020379","type":"journal-article","created":{"date-parts":[[2022,1,13]],"date-time":"2022-01-13T10:57:37Z","timestamp":1642071457000},"page":"379","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Spade-Shaped Anastomosis after Laparoscopic Proximal Gastrectomy Using Double Suture Anchoring between the Posterior Wall of the Esophagus and the Anterior Wall of the Stomach (SPADE Operation): A Case Series"],"prefix":"10.3390","volume":"14","author":[{"given":"Sin Hye","family":"Park","sequence":"first","affiliation":[{"name":"Center for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harbi","family":"Khalayleh","sequence":"additional","affiliation":[{"name":"Center for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung Gon","family":"Kim","sequence":"additional","affiliation":[{"name":"Center for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6252-7532","authenticated-orcid":false,"given":"Sang Soo","family":"Eom","sequence":"additional","affiliation":[{"name":"Center for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahed","family":"Merei","sequence":"additional","affiliation":[{"name":"Center for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junsun","family":"Ryu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Center for Thyroid Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young-Woo","family":"Kim","sequence":"additional","affiliation":[{"name":"Center for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, Korea"},{"name":"Department of Cancer Control and Population Health, National Cancer Center Graduate School of Cancer Science and Policy, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"(2021). 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