Evaluation of Double Tract Reconstruction After Total Gastrectomy in Patients With Gastric Cancer

A Prospective Randomized Controlled Trial Comparing Double Tract Method With Roux-en-Y Method After Total Gastrectomy in Patients With Gastric Cancer

The purpose of this study is to evaluate the double tract reconstruction after total gastrectomy in patients with gastric cancer. A prospective randomized controlled trial was conducted to compare double tract method with Roux-en-Y method

Patients with gastric cancer were intraoperatively randomized for R-Y reconstruction or DT reconstruction after total gastrectomy.

Inclusion Criteria:

• Histologically proven adenocarcinoma without esophageal invasion, tumor status T1-2
• Age 80 years or younger
• No distant metastasis

Exclusion Criteria:

• Carcinoma in the remnant stomach
• Stage intravenous (IV)
• History of laparotomy
• History of serious heart disease
• Liver cirrhosis or chronic liver disease with indocyanine green excretion test at 15 min of 15% or more
• Absence of informed consent