ABSTRACT
PURPOSE: In recent years, laparoscopic near-total gastrectomy (LnTG) has emerged as a surgical option for gastric cancer in the middle-third of the stomach. However, its application in locally advanced stages presents technical challenges. This study aims to provide a detailed analysis of the operative outcomes and long-term functional and oncological results of totally LnTG in combination with D2 lymphadenectomy for middle-third gastric cancer. PATIENTS AND METHOD: A prospective study was conducted on 79 patients who underwent totally LnTG and D2 lymphadenectomy for middle-third gastric cancer between January 2017 and December 2021. Short-term outcomes included operative characteristics, and the evaluation of gastroesophageal reflux and gastric remnant condition using endoscopy based on the Los Angeles (LA) and Residue-Gastritis-Bile classifications. Long-term oncological outcomes included overall survival and disease-free survival. RESULTS: Totally LnTG was successfully performed in 98.7% of patients without intraoperative complications or conversions to laparotomy. The mean operation time was 202.2±43.0 min, and the median blood loss was 50 (50;100) mL. The overall incidence of postoperative morbidities was 16.5%, with one patient experiencing a narrowing of the gastrojejunostomy, successfully treated by endoscopic balloon dilation. All patients had tumor-free resection margins, and there were no mortalities. The 5-year overall survival and disease-free survival rates were 80% and 55%, respectively. CONCLUSIONS: Totally LnTG is an effective and feasible approach for gastric cancer in the middle-third of the stomach, yielding favorable short-term outcomes and acceptable long-term results. Routine application of totally LnTG for middle-third gastric cancer is practical and promising.
ABSTRACT
We present a new hydrological dataset collected during a field campaign in the Saigon-Dong Nai estuary system, Vietnam. These data include water level and water temperature measurements at five locations along the Saigon river and 2 locations along the Dong Nai river as well as discharge measurements from four 24-hour Acoustic Doppler Current Profiler (ADCP) campaigns at 2 locations in the Saigon river and 1 location in the Dong Nai river. Additionally, water level was barometrically compensated using air pressure measurements. Data were sampled between October 21st, 2022 and December 16th, 2022 and are provided in three processing stages namely, direct measurements as provided by the sensors (raw), barometricaly compensated measurements (pre-processed) and corrected measurements (post-processed). Even though of short duration (about 2 months), this dataset provides water level measurements at unprecedented spatial and temporal resolution in a region where data is scarce and not freely available. The synchronous logging of multiple water level sensors along river provides an opportunity to study profiles of water surface slope and upstream tidal propagation. Furthermore, the concurrent discharge measurements can be used to calibrate hydrological and/or hydraulic models of this estuary system. Additionally, the spatial resolution of this dataset is similar to the prospective measurements that the novel Surface Water and Ocean Topography (SWOT) satellite will provide. Thus, it enables the study of synthetic SWOT measurements to evaluate the future potential of the SWOT satellite over this estuary system.
