Revisiting Laparoscopic Reconstruction for Billroth 1 Versus Billroth 2 Versus Roux-en-Y After Distal Gastrectomy: A Systematic Review and Meta-Analysis in the Modern Era
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Min Seo | - |
dc.contributor.author | Kwon, Yeongkeun | - |
dc.contributor.author | Park, Eun Pyung | - |
dc.contributor.author | An, Liang | - |
dc.contributor.author | Park, Haeyeon | - |
dc.contributor.author | Park, Sungsoo | - |
dc.date.accessioned | 2021-09-01T13:58:39Z | - |
dc.date.available | 2021-09-01T13:58:39Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2019-06 | - |
dc.identifier.issn | 0364-2313 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/64844 | - |
dc.description.abstract | BackgroundIn this modern era, laparoscopic distal gastrectomy (LDG) has largely replaced open distal gastrectomy for the treatment of gastric cancer; however, a quantitative review of reconstruction methods applied exclusively using LDG has not yet been published. Thereafter, we compared three reconstruction methods (Billroth I, Billroth II, and Roux-en Y) using the data derived solely from LDG patients.MethodsA systematic search was conducted using electronic bibliographic databases (Google Scholar, PubMed, and Embase), for articles that compared reconstruction methods in LDG, published within the last decade. A systematic review comparing 12 outcome parameters and sensitivity analyses were performed to increase the statistical power and minimize the inconsistency and heterogeneity of results.ResultsTwenty-three clinical trials involving 5797 patients were included in the meta-analysis. There were no significant differences in the postoperative recovery and intraoperative parameters, except for operation time. B1 demonstrated a significantly shorter operation time when compared with B2 and RY by 21.6min (P<0.0001) and 44.69min (P<0.0001), respectively. In terms of postoperative endoscopic symptoms, RY was significantly superior to B1 and B2 for bile reflux (P<0.001) and remnant gastritis (P<0.001). For postoperative complications, B1 showed a significantly lower rate of postoperative morbidity than did RY and B2 (P=0.0006 and P=0.0005, respectively).ConclusionsOur study is the first meta-analysis comparing anastomoses in LDG and introduces novel criteria for consideration when selecting reconstructions in LDG. Considering the significant differences in postoperative complications and endoscopic symptoms, these two parameters lay reasonable groundwork for guiding the surgeon's choice of reconstruction. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | SPRINGER | - |
dc.subject | QUALITY-OF-LIFE | - |
dc.subject | GASTRIC-CANCER | - |
dc.subject | SUBTOTAL GASTRECTOMY | - |
dc.subject | I RECONSTRUCTION | - |
dc.subject | OUTCOMES | - |
dc.subject | TRIAL | - |
dc.subject | GASTROJEJUNOSTOMY | - |
dc.subject | COMPLICATIONS | - |
dc.subject | ANASTOMOSIS | - |
dc.subject | REFLUX | - |
dc.title | Revisiting Laparoscopic Reconstruction for Billroth 1 Versus Billroth 2 Versus Roux-en-Y After Distal Gastrectomy: A Systematic Review and Meta-Analysis in the Modern Era | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kwon, Yeongkeun | - |
dc.contributor.affiliatedAuthor | Park, Sungsoo | - |
dc.identifier.doi | 10.1007/s00268-019-04943-x | - |
dc.identifier.scopusid | 2-s2.0-85061449630 | - |
dc.identifier.wosid | 000466988900023 | - |
dc.identifier.bibliographicCitation | WORLD JOURNAL OF SURGERY, v.43, no.6, pp.1581 - 1593 | - |
dc.relation.isPartOf | WORLD JOURNAL OF SURGERY | - |
dc.citation.title | WORLD JOURNAL OF SURGERY | - |
dc.citation.volume | 43 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 1581 | - |
dc.citation.endPage | 1593 | - |
dc.type.rims | ART | - |
dc.type.docType | Review | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | QUALITY-OF-LIFE | - |
dc.subject.keywordPlus | GASTRIC-CANCER | - |
dc.subject.keywordPlus | SUBTOTAL GASTRECTOMY | - |
dc.subject.keywordPlus | I RECONSTRUCTION | - |
dc.subject.keywordPlus | OUTCOMES | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordPlus | GASTROJEJUNOSTOMY | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | ANASTOMOSIS | - |
dc.subject.keywordPlus | REFLUX | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
(02841) 서울특별시 성북구 안암로 14502-3290-1114
COPYRIGHT © 2021 Korea University. All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.