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Study protocol for comparing the efficacy of left-open single-flap technique versus double-flap technique after
Qin Chuan Yang1, Wei Dong Wang1, Zhen Chang Mo1,2
1Department of Gastrointestinal Surgery, Xijing Hospital, Air Force Military Medical University, Xi'an, Shaanxi, China.
Frontiers in Oncology
|December 5, 2022
Summary
This study compares the new left-open single-flap technique with the double-flap technique for antireflux reconstruction after proximal gastrectomy. The goal is to reduce complications and improve patient quality of life.
Area of Science:
- Surgical Oncology
- Gastroenterology
- Clinical Trials
Background:
- Proximal gastrectomy preserves stomach function but risks antireflux barrier loss and complications.
- Digestive tract reconstruction methods are evolving to address these challenges.
- The double-flap technique is an established antireflux method.
Purpose of the Study:
- To compare the efficacy of the left-open single-flap technique versus the double-flap technique.
- To evaluate the impact on surgical anastomosis difficulty and perioperative complications.
- To provide evidence for clinical guidelines in digestive tract reconstruction.
Main Methods:
- Prospective, multicenter, randomized controlled trial.
- Recruitment of 250 eligible patients undergoing proximal gastrectomy.
- Random 1:1 allocation to either the left-open single-flap (trial) or double-flap (control) technique.
Main Results:
- N/A - Study ongoing.
Conclusions:
- N/A - Study ongoing. Findings will inform clinical practice for proximal gastrectomy reconstruction.
