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
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...
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MDPI AG
2022-01-01
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| Series: | Cancers |
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| Online Access: | https://www.mdpi.com/2072-6694/14/2/379 |
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| author | Sin Hye Park Harbi Khalayleh Sung Gon Kim Sang Soo Eom Fahed Merei Junsun Ryu Young-Woo Kim |
| author_facet | Sin Hye Park Harbi Khalayleh Sung Gon Kim Sang Soo Eom Fahed Merei Junsun Ryu Young-Woo Kim |
| author_sort | Sin Hye Park |
| collection | DOAJ |
| description | 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’ symptoms and follow-up endoscopy using Los Angeles (LA) classification and RGB Classification (Residue, Gastritis, Bile). Other complications were classified using the Clavien–Dindo 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. |
| first_indexed | 2024-03-10T01:46:09Z |
| format | Article |
| id | doaj.art-5e2ef1555d3945db84555061c732228e |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-10T01:46:09Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
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| series | Cancers |
| spelling | doaj.art-5e2ef1555d3945db84555061c732228e2023-11-23T13:14:00ZengMDPI AGCancers2072-66942022-01-0114237910.3390/cancers14020379Spade-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 SeriesSin Hye Park0Harbi Khalayleh1Sung Gon Kim2Sang Soo Eom3Fahed Merei4Junsun Ryu5Young-Woo Kim6Center for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, KoreaCenter for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, KoreaCenter for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, KoreaCenter for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, KoreaCenter for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, KoreaDepartment of Otolaryngology-Head and Neck Surgery, Center for Thyroid Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, KoreaCenter for Gastric Cancer, National Cancer Center, Ilsan-ro 323, Ilsandong-gu, Goyang-si 10408, KoreaWe 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’ symptoms and follow-up endoscopy using Los Angeles (LA) classification and RGB Classification (Residue, Gastritis, Bile). Other complications were classified using the Clavien–Dindo 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.https://www.mdpi.com/2072-6694/14/2/379proximal gastrectomyearly gastric cancergastroesophageal refluxlaparoscopic surgery |
| spellingShingle | Sin Hye Park Harbi Khalayleh Sung Gon Kim Sang Soo Eom Fahed Merei Junsun Ryu Young-Woo Kim 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 Cancers proximal gastrectomy early gastric cancer gastroesophageal reflux laparoscopic surgery |
| 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | proximal gastrectomy early gastric cancer gastroesophageal reflux laparoscopic surgery |
| url | https://www.mdpi.com/2072-6694/14/2/379 |
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