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November 21, 2025Frontiers in SurgeryOpen Access

Vagus nerve preservation and double-flap technique in laparoscopic proximal gastrectomy

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Authors

KSKe-kang SunXSXiao-Jun ShenPHPeng Hua

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Overview

Retrospective analysis shows minimally invasive technique reduces reflux esophagitis in early gastric cancer patients, indicating effective surgical outcomes.

Key Points

  • The research aims to assess the safety and efficacy of a novel laparoscopic technique in gastrectomy.
  • Single-center retrospective analysis of 37 gastric cancer patients
  • Used vagus nerve preservation with double-flap technique
  • Performed laparoscopic anastomosis between the oesophagus and remnant stomach
  • 2.7% had slight anastomotic stricture, resolving with conservative treatment
  • No cases of anastomotic bleeding or leakage
  • No food residue or GERD observed 6 months post-operation
  • Gallbladder contractile function normal in all patients

Cite This Study

Sun et al. (2025) studied this question.

synapsesocial.com/papers/6924e3e6c0ce034ddc34ec60https://doi.org/10.3389/fsurg.2025.1656058
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Laparoscopic radical proximal gastrectomy with double flap technique for early proximal gastric cancer: a prospective, phase II study2026
  2. 2Applications on proximal gastrectomy with gastroesophageal muscular flap anastomosis in laparoscopic surgery: a narrative review2026
  3. 3Comparing the antireflux effect of laparoscopic proximal gastrectomy with double-flap technique reconstruction versus laparoscopic total gastrectomy with Roux-en-Y reconstruction for proximal early gastric cancer: study protocol for a multicentre, prospective, open-label, randomised controlled trial2024 · 2 citations
  4. 4327. POSITIVE IMPACT OF THE DOUBLE-FLAP TECHNIQUE FOR RECONSTRUCTION AFTER THORACOSCOPIC/LAPAROSCOPIC OR ROBOT ASSISTED IVOR-LEWIS ESOPHAGECTOMY FOR EGJ CANCER2025
  5. 5A multi‐center, prospective, clinical study to evaluate the anti‐reflux efficacy of laparoscopic double‐flap technique (<scp>lD‐FLAP</scp> Study)2024 · 16 citations