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A Comparative Study of Double-Tract Reconstruction and Roux-en-Y After Gastrectomy for Gastric Cancer

Hong, Jun, MD, PhD*; Wang, Shu-Yan, MD; Hao, Han-Kun, MD, PhD*

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: April 2019 - Volume 29 - Issue 2 - p 82–89
doi: 10.1097/SLE.0000000000000639
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Background: The meta-analysis was performed to compare surgical and functional results of double-tract (DT) and Roux-en-Y (RY) reconstruction, applied in both partial and total gastrectomy.

Methods: PubMed, Ovid, Web of Science, Wiley, EBSCO, and the Cochrane Library Central were searched for studies comparing DT and RY after partial or total gastrectomy. Surgical, nutritional, and long-term outcomes were collected and analyzed.

Results: A total of 595 patients from 8 studies were included. Operative time, time to first flatus, length of hospital stays, complications, postoperative nutritional variables, and functional result were similar between 2 groups. Group DT had significantly less blood loss, shorter time to oral intake and less loss of body weight at 2 years after operation.

Conclusions: DT reconstruction is comparable with RY after gastrectomy in safety, surgical outcomes including reflux symptom and postoperative recovery and shows better food intake and body weight maintenance.

*Department of General Surgery, Huashan Hospital

Huashan Worldwide Medical Center, Huashan Hospital, Fudan University, Shanghai, China

J.H. and S.-Y.W. are contributed equally and co-first authors.

The author declares no conflicts of interest.

Reprints: Han-Kun Hao, MD, PhD, Department of General Surgery, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai 200040, China (e-mail: hhk_hs@hotmail.com).

Received August 9, 2018

Accepted December 31, 2018

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