Current Status and Progress of Vagus Nerve-Preserving Radical Gastrectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIUChun-yang ,  HAOYing-xue

Department of General Surgery and Center of Minimal Invasive Gastrointestinal Surgery, The First Affiliated Hospital, The Third Military Medical University, Chongqing 400038, China;

Corresponding author：

HAOYing-xue, Email: haoyingxue@hotmail.com

Keywords：

Vagus nerve; Gastric cancer; Acute inflammation reaction; Gastrointestinal hormone; Quality of life

DOI：

10.7507/1007-9424.20160360

Video：

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Objective To comprehensively analyze current status and progress of vagus nerve-preserving radical gastrectomy for gastric cancer at domestic and foreign. Method Relevant literatures about vagus nerve-preserving radical gastrectomy at domestic and foreign since 1996 were collected and reviewed. Results Vagus nerve-preserving radical gastrectomy for gastric cancer had been recognized by many scholars both at home and abroad, which had a higher operation safety and feasibility, could obviously reduce the occurrence of postoperative acute inflammation, maintain the stability of gastrointestinal function to the greatest extent, significantly reduce the incidence of postoperative complications such as gallbladder stone and diarrhea, improve the postoperative quality of life. Conclusion Under premise of strictly controlling operation indications and ensuring curative effect, vagus nerve-preserving radical gastrectomy is of great significance to improve prognosis of patient with gastric cancer.

Citation： LIUChun-yang, HAOYing-xue. Current Status and Progress of Vagus Nerve-Preserving Radical Gastrectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(11): 1407-1412. doi: 10.7507/1007-9424.20160360 Copy

1.	郭大川, 王舒宝. 保留迷走神经的胃癌根治术解剖学研究. 中国实用外科杂志, 1999, 19(3):160-162.
2.	Ando S, Tsuji H. Surgical technique of vagus nerve-preserving gastrectomy with D2 lymphadenectomy for gastric cancer. ANZ J Surg, 2008, 78(3):172-176.
3.	幕内雅敏(日)监修. 技巧与误区:胃外科要点与盲点. 段志泉总主译. 沈阳:辽宁科学技术出版社, 2009:212.
4.	翟同善. T3期胃下部癌D2术式选择性自主神经保留可行性探讨. 中国医科大学学报, 2010, 39(9):773-774.
5.	Miwa K, Kinami S, Sato T, et al. Vagus-saving D2 procedure for early gastric carcinoma. Nihon Geka Gakkai Zasshi, 1996, 97(4):286-290.
6.	Sasada S, Ninomiya M, Nishizaki M, et al. Survival of patients treated by an autonomic nerve-preserving gastrectomy for early gastric cancer. Surg Today, 2010, 40(5):444-450.
7.	Wang L, Zhang W, Quan C, et al. Quality of life and prognosis after celiac branch of vagus preserving distal radical gastrectomy. Eur Surg ACA, 2015, 47 Suppl 1:S11.
8.	Kitano S, Iso Y, Moriyama M, et al. Laparoscopy-assisted Billroth Ⅰ gastrectomy. Surg Laparosc Endosc, 1994, 4(2):146-148.
9.	Takiguchi S, Hiura Y, Takahashi T, et al. Preservation of the celiac branch of the vagus nerve during laparoscopy-assisted distal gastrec-tomy:impact on postprandial changes in ghrelin secretion. World J Surg, 2013, 37(9):2172-2179.
10.	Kim SM, Cho J, Kang D, et al. A randomized controlled trial of vagus nerve-preserving distal gastrectomy versus conventional distal gastrectomy for postoperative quality of life in early stage gastric cancer patients. Ann Surg, 2016, 263(6):1079-1084.
11.	房学东, 王旭东, 刘卓. 保留迷走神经的远端胃癌根治术的临床研究. 消化肿瘤杂志:电子版, 2009, 1(1):24-28.
12.	谢小平, 朱国民, 吴厚斌, 等. 保留迷走神经的远端胃癌根治术对早期胃癌的疗效观察. 江西医药, 2015, 50(7):620-623.
13.	Kojima K, Yamada H, Inokuchi M, et al. Functional evaluation after vagus-nerve-sparing laparoscopically assisted distal gastrectomy. Surg Endosc, 2008, 22(9):2003-2008.
14.	Pavlov VA, Wang H, Czura CJ, et al. The cholinergic anti-inflamma-tory pathway:a missing link in neuroimmunomodulation. Mol Med, 2003, 9(5-8):125-134.
15.	van Westerloo DJ, Giebelen IA, Florquin S, et al. The cholinergic anti-inflammatory pathway regulates the host response during septic peritonitis. J Infect Dis, 2005, 191(12):2138-2148.
16.	Kessler W, Traeger T, Westerholt A, et al. The vagal nerve as a link between the nervous and immune system in the instance of polymicrobial sepsis. Langenbecks Arch Surg, 2006, 391(2):83-87.
17.	Fujita T, Yanaga K. Clinical influence of vagotomy on postoperative acute phase response. Langenbecks Arch Surg, 2007, 392(2):127-130.
18.	绳继健, 孙国瑞, 何庆泗, 等. 胃癌根治术保留迷走神经对术后急性炎症反应的影响研究. 中国现代普通外科进展, 2012, 15(9):703-706.
19.	Goverse G, Stakenborg M, Matteoli G. The intestinal cholinergic anti-inflammatory pathway. J Physiol, 2016 Mar 9.
20.	Kim HH, Park MI, Lee SH, et al. Effects of vagus nerve preservation and vagotomy on peptide YY and body weight after subtotal gastrectomy. World J Gastroenterol, 2012, 18(30):4044-4050.
21.	Zhang T, Uchida T, Gomez G, et al. Neural regulation of peptide YY secretion. Regul Pept, 1993, 48(3):321-328.
22.	Batterham RL, Cowley MA, Small CJ, et al. Gut hormone PYY(3-36) physiologically inhibits food intake. Nature, 2002, 418(6898):650-654.
23.	Batterham RL, Cohen MA, Ellis SM, et al. Inhibition of food intake in obese subjects by peptide YY3-36. N Engl J Med, 2003, 349(10):941-948.
24.	胡英斌, 江勃年, 唐自元, 等. 保留迷走神经腹腔支胃癌根治术的临床研究. 中国现代手术学杂志, 2011, 15(2):98-100.
25.	吴厚宾, 谢小平, 朱国民, 等. 保留迷走神经远端胃癌根治术患者的营养及预后. 广东医学, 2014, 35(12):1923-1925.
26.	Aly A, Shulkes A, Baldwin GS. Gastrins, cholecystokinins and gastrointestinal cancer. Biochim Biophys Acta, 2004, 1704(1):1-10.
27.	Cowey SL, Quast M, Belalcazar LM, et al. Abdominal obesity, insulin resistance, and colon carcinogenesis are increased in mutant mice lacking gastrin gene expression. Cancer, 2005, 103(12):2643-2653.
28.	Gaddipati KV, Simonian HP, Kresge KM, et al. Abnormal ghrelin and pancreatic polypeptide responses in gastroparesis. Dig Dis Sci, 2006, 51(8):1339-1346.
29.	Taylor IL, Impicciatore M, Carter DC, et al. Effect of atropine and vagotomy on pancreatic polypeptide response to a meal in dogs. Am J Physiol, 1978, 235(4):E443-E447.
30.	Ihasz M, Griffith CA. Gallstones after vagotomy. Am J Surg, 1981, 141(1):48-50.
31.	Tsuji H, Andoh S, Sakakibara K, et al. The clinical evaluation of vagus nerve preserving gastric operation with d2 lymph node dissec-tion for early and advanced gastric cancer. Nippon Shokaki Geka Gakkai Zasshi, 2003, 36(2):78-84.
32.	Tomita R, Fujisaki S, Koshinaga T, et al. Clinical assessments in pati-ents ten years after pylorus-preserving gastrectomy with or without preserving both pyloric and hepatic branches of the vagal nerve for early gastric cancer. Hepatogastroenterology, 2010, 57(11):984-988.
33.	Chen XJ, Li N, Huang YD, et al. Factors for postoperative gallstone occurrence in patients with gastric cancer:a meta-analysis. Asian Pac J Cancer Prev, 2014, 15(2):877-881.
34.	吕云福, 董永红, 黄海, 等. 贲门周围血管离断术后胃动力障碍的病因分析与预防措施. 中华普通外科杂志, 2003, 18(9):553-555.
35.	Murakami H, Matsumoto H, Kubota H, et al. Evaluation of electrical activity after vagus nerve-preserving distal gastrectomy using multi-channel electrogastrography. J Smooth Muscle Res, 2013, 49:1-14.
36.	桑温昌, 李兆德, 宫东尧, 等. 保留迷走神经的全胃切除术疗效分析. 中华临床医师杂志:电子版, 2011, 5(8):2232-2235.
37.	Hiki N, Nunobe S, Kubota T, et al. Function-preserving gastrectomy for early gastric cancer. Ann Surg Oncol, 2013, 20(8):2683-2692.
38.	Sano T, Sasako M, Yamamoto S, et al. Gastric cancer surgery:morbi-dity and mortality results from a prospective randomized controlled trial comparing D2 and extended para-aortic lymphadenectomy-Japan Clinical Oncology Group study 9501. J Clin Oncol, 2004, 22(14):2767-2773.

1. 郭大川, 王舒宝. 保留迷走神经的胃癌根治术解剖学研究. 中国实用外科杂志, 1999, 19(3):160-162.
2. Ando S, Tsuji H. Surgical technique of vagus nerve-preserving gastrectomy with D2 lymphadenectomy for gastric cancer. ANZ J Surg, 2008, 78(3):172-176.
3. 幕内雅敏(日)监修. 技巧与误区:胃外科要点与盲点. 段志泉总主译. 沈阳:辽宁科学技术出版社, 2009:212.
4. 翟同善. T3期胃下部癌D2术式选择性自主神经保留可行性探讨. 中国医科大学学报, 2010, 39(9):773-774.
5. Miwa K, Kinami S, Sato T, et al. Vagus-saving D2 procedure for early gastric carcinoma. Nihon Geka Gakkai Zasshi, 1996, 97(4):286-290.
6. Sasada S, Ninomiya M, Nishizaki M, et al. Survival of patients treated by an autonomic nerve-preserving gastrectomy for early gastric cancer. Surg Today, 2010, 40(5):444-450.
7. Wang L, Zhang W, Quan C, et al. Quality of life and prognosis after celiac branch of vagus preserving distal radical gastrectomy. Eur Surg ACA, 2015, 47 Suppl 1:S11.
8. Kitano S, Iso Y, Moriyama M, et al. Laparoscopy-assisted Billroth Ⅰ gastrectomy. Surg Laparosc Endosc, 1994, 4(2):146-148.
9. Takiguchi S, Hiura Y, Takahashi T, et al. Preservation of the celiac branch of the vagus nerve during laparoscopy-assisted distal gastrec-tomy:impact on postprandial changes in ghrelin secretion. World J Surg, 2013, 37(9):2172-2179.
10. Kim SM, Cho J, Kang D, et al. A randomized controlled trial of vagus nerve-preserving distal gastrectomy versus conventional distal gastrectomy for postoperative quality of life in early stage gastric cancer patients. Ann Surg, 2016, 263(6):1079-1084.
11. 房学东, 王旭东, 刘卓. 保留迷走神经的远端胃癌根治术的临床研究. 消化肿瘤杂志:电子版, 2009, 1(1):24-28.
12. 谢小平, 朱国民, 吴厚斌, 等. 保留迷走神经的远端胃癌根治术对早期胃癌的疗效观察. 江西医药, 2015, 50(7):620-623.
13. Kojima K, Yamada H, Inokuchi M, et al. Functional evaluation after vagus-nerve-sparing laparoscopically assisted distal gastrectomy. Surg Endosc, 2008, 22(9):2003-2008.
14. Pavlov VA, Wang H, Czura CJ, et al. The cholinergic anti-inflamma-tory pathway:a missing link in neuroimmunomodulation. Mol Med, 2003, 9(5-8):125-134.
15. van Westerloo DJ, Giebelen IA, Florquin S, et al. The cholinergic anti-inflammatory pathway regulates the host response during septic peritonitis. J Infect Dis, 2005, 191(12):2138-2148.
16. Kessler W, Traeger T, Westerholt A, et al. The vagal nerve as a link between the nervous and immune system in the instance of polymicrobial sepsis. Langenbecks Arch Surg, 2006, 391(2):83-87.
17. Fujita T, Yanaga K. Clinical influence of vagotomy on postoperative acute phase response. Langenbecks Arch Surg, 2007, 392(2):127-130.
18. 绳继健, 孙国瑞, 何庆泗, 等. 胃癌根治术保留迷走神经对术后急性炎症反应的影响研究. 中国现代普通外科进展, 2012, 15(9):703-706.
19. Goverse G, Stakenborg M, Matteoli G. The intestinal cholinergic anti-inflammatory pathway. J Physiol, 2016 Mar 9.
20. Kim HH, Park MI, Lee SH, et al. Effects of vagus nerve preservation and vagotomy on peptide YY and body weight after subtotal gastrectomy. World J Gastroenterol, 2012, 18(30):4044-4050.
21. Zhang T, Uchida T, Gomez G, et al. Neural regulation of peptide YY secretion. Regul Pept, 1993, 48(3):321-328.
22. Batterham RL, Cowley MA, Small CJ, et al. Gut hormone PYY(3-36) physiologically inhibits food intake. Nature, 2002, 418(6898):650-654.
23. Batterham RL, Cohen MA, Ellis SM, et al. Inhibition of food intake in obese subjects by peptide YY3-36. N Engl J Med, 2003, 349(10):941-948.
24. 胡英斌, 江勃年, 唐自元, 等. 保留迷走神经腹腔支胃癌根治术的临床研究. 中国现代手术学杂志, 2011, 15(2):98-100.
25. 吴厚宾, 谢小平, 朱国民, 等. 保留迷走神经远端胃癌根治术患者的营养及预后. 广东医学, 2014, 35(12):1923-1925.
26. Aly A, Shulkes A, Baldwin GS. Gastrins, cholecystokinins and gastrointestinal cancer. Biochim Biophys Acta, 2004, 1704(1):1-10.
27. Cowey SL, Quast M, Belalcazar LM, et al. Abdominal obesity, insulin resistance, and colon carcinogenesis are increased in mutant mice lacking gastrin gene expression. Cancer, 2005, 103(12):2643-2653.
28. Gaddipati KV, Simonian HP, Kresge KM, et al. Abnormal ghrelin and pancreatic polypeptide responses in gastroparesis. Dig Dis Sci, 2006, 51(8):1339-1346.
29. Taylor IL, Impicciatore M, Carter DC, et al. Effect of atropine and vagotomy on pancreatic polypeptide response to a meal in dogs. Am J Physiol, 1978, 235(4):E443-E447.
30. Ihasz M, Griffith CA. Gallstones after vagotomy. Am J Surg, 1981, 141(1):48-50.
31. Tsuji H, Andoh S, Sakakibara K, et al. The clinical evaluation of vagus nerve preserving gastric operation with d2 lymph node dissec-tion for early and advanced gastric cancer. Nippon Shokaki Geka Gakkai Zasshi, 2003, 36(2):78-84.
32. Tomita R, Fujisaki S, Koshinaga T, et al. Clinical assessments in pati-ents ten years after pylorus-preserving gastrectomy with or without preserving both pyloric and hepatic branches of the vagal nerve for early gastric cancer. Hepatogastroenterology, 2010, 57(11):984-988.
33. Chen XJ, Li N, Huang YD, et al. Factors for postoperative gallstone occurrence in patients with gastric cancer:a meta-analysis. Asian Pac J Cancer Prev, 2014, 15(2):877-881.
34. 吕云福, 董永红, 黄海, 等. 贲门周围血管离断术后胃动力障碍的病因分析与预防措施. 中华普通外科杂志, 2003, 18(9):553-555.
35. Murakami H, Matsumoto H, Kubota H, et al. Evaluation of electrical activity after vagus nerve-preserving distal gastrectomy using multi-channel electrogastrography. J Smooth Muscle Res, 2013, 49:1-14.
36. 桑温昌, 李兆德, 宫东尧, 等. 保留迷走神经的全胃切除术疗效分析. 中华临床医师杂志:电子版, 2011, 5(8):2232-2235.
37. Hiki N, Nunobe S, Kubota T, et al. Function-preserving gastrectomy for early gastric cancer. Ann Surg Oncol, 2013, 20(8):2683-2692.
38. Sano T, Sasako M, Yamamoto S, et al. Gastric cancer surgery:morbi-dity and mortality results from a prospective randomized controlled trial comparing D2 and extended para-aortic lymphadenectomy-Japan Clinical Oncology Group study 9501. J Clin Oncol, 2004, 22(14):2767-2773.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Current Status and Progress of Vagus Nerve-Preserving Radical Gastrectomy

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