Clinical Outcome of Modified Laparoscopy-Assisted Proximal Gastrectomy Compared to Conventional Proximal Gastrectomy or Total Gastrectomy for Upper-Third Early XXXX with Special References to Postoperative @entity354 .

@entity1 @entity4094 @entity260 @entity348 @entity354 @entity356
PURPOSE: This study evaluated the functional and oncological outcomes of @entity4094 ( @entity4094 ) in comparison with @entity348 ( @entity348 ) for upper-third @entity356 ( @entity356 ). MATERIALS AND METHODS: The medical records of upper-third @entity356 @entity1 who had undergone @entity4094 (n=192) or @entity348 (n=157) were reviewed. The @entity4094 group was further subdivided into @entity1 who had undergone conventional open @entity4094 (cPG; n=157) or modified laparoscopy-assisted @entity4094 (mLAPG; n=35). @entity1 who had undergone mLAPG had a longer portion of their intra-abdominal esophagus preserved than @entity1 who had undergone cPG. Surgical morbidity, recurrence, long-term nutritional status, and the incidence of @entity354 were compared between the groups. RESULTS: The rate of @entity260 was significantly lower for @entity4094 than @entity348 (16.7% vs. 31.2%), but the five-year overall survival rate was comparable between the two groups (99.3% vs. 96.3%). Postoperative levels of hemoglobin and albumin were significantly higher for @entity1 who had undergone @entity4094 . However, the incidence of @entity354 was higher for @entity4094 than for @entity348 (37.4% vs. 3.7%; P<0.001). mLAPG was related to a lower incidence of @entity354 after @entity4094 (P<0.001). CONCLUSIONS: Compared to @entity348 , @entity4094 showed an advantage in terms of postoperative morbidity and nutrition, and there was a comparable prognosis between the two procedures. Preserving the intra-abdominal esophagus may lower the incidence of @entity354 associated with @entity4094 .
