Application of modified laparoscopic stomach-partitioning gastrojejunostomy for stage IV gastric cancer with gastric outlet obstruction.

ABSTRACT: Gastric outlet obstruction (GOO) is a common complication in stage IV gastric cancer, often causing malnutrition and delaying conversion therapy. Compared with conventional gastrojejunostomy (CGJ), stomach-partitioning gastrojejunostomy (SPGJ) offers advantages in improving oral intake and reducing gastric emptying disorders. In clinical practice, we found that performing No. 4sb lymph node dissection during the initial bypass procedure improves the surgical field for subsequent radical resection, eliminating the need to reoperate around the anastomosis and greater curvature. This significantly shortens operative time and facilitates recovery. We termed this approach as modified laparoscopic stomach-partitioning gastrojejunostomy (M-LSPGJ), incorporating No. 4sb lymph node dissection, gast

SUBMITTER: Wang H 

PROVIDER: S-EPMC12598425 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature