Proximal gastrectomy with jejunal interposition and TGRY anastomosis for proximal gastric cancer

Table 1 Characteristics of the patients

Characteristic	Proximal gastrectomy with jejunal interposition (n = 35)	Total gastrectomy with Roux-en-Y anastomosis (n = 41)	P value
Age (yr)	57.26 ± 9.71	56.19 ± 11.42	0.67
Gender (M/F)	22:13	30:11	0.34
Surgical duration(min)	205.08 ± 7.60	152.73 ± 7.16	0.00
Lymph nodes dissected	29.80 ± 3.85	31.12 ± 4.40	0.16
Anastomosis leakage	0	0
Surgical site infection	0	0
Postoperative hemorrhage	0	0
Hospital stay (d)	17.31 ± 1.39	16.39 ± 1.22	0.003
Histological grade (n)			0.45
G1/G2 (differentiated)	14	13
G3/G4 (undifferentiated)	21	28
Pathological T factor			0.92
pT1	10	14
pT2	7	6
pT3	17	20
pT4	1	1
Pathological N factor			0.45
pN0	28	32
pN1	6	9
pN2	1	0
pN3	0	0
Pathological stage			0.55
IA	10	14
IB	3	1
IIA/IIB	20	25
IIIA	2	1

Table 2 Endoscopic findings in the sixth month after surgery

	PGJI (n = 31)	TGRY (n = 40)	P value
Refluxesophagitis	2	2	0.59
Anastomotic inflammation	20	23	0.56
Anastomotic ulcer	1	0

TGRY: Total gastrectomy with Roux-en-Y anastomosis; PGJI: Proximal gastrectomy with jejunal interposition.

Table 3 Visick grade after operation

		PGJI	TGRY	P value
The time of discharge (n = 76)	1	19	23	0.58
	2	14	15
	3	1	3
	4	1	0
The sixth month after surgery (n = 71)	1	24	25	0.36
	2	6	9
	3	1	5
	4	0	1

TGRY: Total gastrectomy with Roux-en-Y anastomosis; PGJI: Proximal gastrectomy with jejunal interposition.

Table 4 Number of meals per day in the twelfth month after surgery

Number of meals per day	N (TGRY)	N (PGJI)	P value
3	20	28	0.00
4	17	3
5	3	0

TGRY: Total gastrectomy with Roux-en-Y anastomosis; PGJI: Proximal gastrectomy with jejunal interposition.

Table 5 Postoperative indicators of nutritional status

	TRGY	PGJI	P value
Hemoglobin level (g/L)
Preoperation	122.75 ± 18.74	122.23 ± 19.98	0.91
Discharge	107.95 ± 10.67	102.96 ± 12.92	0.08
One year after surgery	111.28 ± 10.75	114.35 ± 10.24	0.23
Two years after surgery	118.10 ± 10.08	123.23 ± 7.73	0.02
Serum albumin level (g/L)
Preoperation	37.57 ± 2.36	35.06 ± 2.22	0.75
Discharge	31.72 ± 2.40	31.63 ± 2.12	0.12
One year after surgery	36.70 ± 6.94	38.12 ± 3.02	0.10
Two years after surgery	39.84 ± 6.23	41.10 ± 3.18	0.45

TGRY: Total gastrectomy with Roux-en-Y anastomosis; PGJI: Proximal gastrectomy with jejunal interposition.