{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:25:13Z","timestamp":1787757913916,"version":"build-2784847793"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The feasibility of using laparoscopic proximal gastrectomy (LPG) for the treatment of proximal early gastric cancer (EGC) has not been addressed. This study aimed to comparatively evaluate the effects on LPG with piggyback jejunal interposition double-tract reconstruction (PJIDTR) versus laparoscopic total gastrectomy (LTG) with Roux-en-Y reconstruction (overlap method) using propensity score matching for proximal EGC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We examined the clinical outcomes of LPG with PJIDTR for proximal EGC. We retrospectively collected data from patients with proximal EGC who were treated at Shanxi Cancer Hospital between January 2012 and December 2015. The complication rate, nutritional indicators, reflux oesophagitis incidence and overall survival were compared between LTG and LPG with PJIDTR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the 424 patients, 200 were excluded, and 50 of the remaining patients received LPG with PJIDTR. Fifty matched LTG patients were screened. The incidence of early complications was 14% in the LPG group and 16% in the LTG group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). At 1 year after surgery, nutrition indices in the LPG group were significantly better than those in the LTG group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). One year after surgery, the Visick score II rate was 2% and 4%, and the endoscopic oesophagitis rate was 4% and 6% in the LPG and LTG groups, respectively. No tumour recurrence was observed in either group. The 5-year overall survival rates of the two groups were 98% and 90% (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.08).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>LPG with PJIDTR may be suitable for proximal EGC.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_46_22","type":"journal-article","created":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T07:34:32Z","timestamp":1654068872000},"page":"20-27","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Feasibility of laparoscopic proximal gastrectomy with piggyback jejunal interposition double-tract reconstruction for proximal gastric cancer: A propensity score-matching analysis"],"prefix":"10.4103","volume":"19","author":[{"given":"Zhi Guo","family":"Li","sequence":"first","affiliation":[{"name":"Department of Minimal Invasive Digestive Surgery, Shanxi Cancer Hospital, Affiliated to Shanxi Medical University, Taiyuan, Shanxi, PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian Hong","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Minimal Invasive Digestive Surgery, Shanxi Cancer Hospital, Affiliated to Shanxi Medical University, Taiyuan, Shanxi, PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing Xing","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Minimal Invasive Digestive Surgery, Shanxi Cancer Hospital, Affiliated to Shanxi Medical University, Taiyuan, Shanxi, PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1136\/gutjnl-2014-308915","article-title":"Global patterns of cardia and non-cardia gastric cancer incidence in 2012","volume":"64","author":"Colquhoun","year":"2015","journal-title":"Gut"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"131","DOI":"10.5230\/jgc.2016.16.3.131","article-title":"Korean Gastric Cancer Association nationwide survey on gastric cancer in 2014","volume":"16","year":"2016","journal-title":"J Gastric Cancer"},{"key":"R3-20240828","first-page":"633","article-title":"Total vs. proximal gastrectomy for proximal gastric cancer:A systematic review and meta-analysis","volume":"59","author":"Wen","year":"2012","journal-title":"Hepatogastroenterology"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1007\/s101200050019","article-title":"Surgical results of proximal gastrectomy for early-stage gastric cancer: Jejunal interposition and gastric tube reconstruction","volume":"2","author":"Adachi","year":"1999","journal-title":"Gastric Cancer"},{"key":"R5-20240828","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1016\/S0039-6060(97)90356-1","article-title":"Proximal gastrectomy and jejunal pouch interposition for the treatment of early cancer in the upper third of the stomach:Surgical techniques and evaluation of postoperative function","volume":"121","author":"Takeshita","year":"1997","journal-title":"Surgery"},{"key":"R6-20240828","first-page":"491","article-title":"Proximal gastrectomy reconstructed by interposition of a jejunal pouch. 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